Court filing
First Amended Class Action Complaint — Studio 417 v. Cincinnati Insurance
Filed June 1, 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 | 2020-06-01 |
U.S. District Court for the Western District of Missouri, Southern Division · No. 6:20-cv-03127-SRB · Doc. 16 · 2020-06-01 · Docket on CourtListener
Full text
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IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF MISSOURI
STUDIO 417, INC.,
GRAND STREET DINING, LLC,
GSD LENEXA, LLC,
TREZOMARE OPERATING COMPANY,
LLC, and
V’s RESTAURANT, INC.,
Each individually and on behalf of all
others similarly situated,
Plaintiffs,
vs.
THE CINCINNATI INSURANCE
COMPANY,
Defendant.
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Case No. 6:20-cv-03127
JURY TRIAL DEMANDED
FIRST AMENDED CLASS ACTION COMPLAINT
Plaintiffs Studio 417, Inc., Grand Street Dining, LLC, GSD Lenexa, LLC, Trezomare
Operating Company, LLC, and V’s Restaurant, Inc. (collectively “Plaintiffs”), each individually
and on behalf of all others similarly situated, bring this class action against Defendant The
Cincinnati Insurance Company (“Defendant” or “Cincinnati”), and in support thereof state and
allege the following:
I.
NATURE OF THE ACTION
1.
This action arises out of Defendant’s failure to provide insurance coverage. The
Coronavirus pandemic (COVID-19) and the resulting response by state and local governments
have caused physical loss to Plaintiffs’ property and have interrupted Plaintiffs’ business.
2.
For many years, Plaintiff Studio 417, Inc. has operated hair salons in the Springfield
metropolitan area.
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3.
For many years, Plaintiffs Grand Street Dining, LLC, GSD Lenexa, LLC,
Trezomare Operating Company, LLC, and V’s Restaurant, Inc. have owned and operated full-
service fine dining restaurants in the Kansas City metropolitan area. Plaintiffs Grand Street Dining,
LLC, GSD Lenexa, LLC, Trezomare Operating Company, LLC, and V’s Restaurant, Inc.’s
restaurants also provide catering services and wedding and event space.
4.
Plaintiffs’ operations have been and continue to be suspended and threatened by
the novel coronavirus, SARS-CoV-2, which causes the infectious disease COVID-19
5.
To protect their businesses in the event that they suddenly had to suspend operations
for reasons outside of their control, or in order to prevent further property damage, Plaintiffs
purchased insurance coverage from Defendant, including property coverage, as set forth in The
Cincinnati Insurance Company’s Building and Personal Property Coverage Form and Business
Income (and Extra Expense) Coverage Form.
6.
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.
7.
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.
8.
Defendant’s coverage forms also provide “Dependent Property” coverage, which
promises to pay for actual loss due to the necessary suspension of operations caused by direct loss
to dependent property.
9.
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,
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access to the premises.
10.
Defendant’s coverage forms also provide “Extended Business Income” coverage,
which promises to pay for actual loss due to the necessary suspension of operations caused by
accidental physical loss or accidental physical damage to the covered property.
11.
Defendant’s coverage forms also provide “Ingress and Egress” coverage, which
promises to pay for actual loss due to the necessary suspension of operations caused by the
prevention of existing ingress or egress at the premises.
12.
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.
13.
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.
14.
Plaintiffs were forced to suspend or reduce business at their covered premises due
to COVID-19 and the ensuing orders issued by civil authorities in Missouri and Kansas, 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.
15.
Upon information and belief, Defendant has, on a widescale and uniform basis,
refused to pay its insureds under its Business Income, Extra Expense, Dependent Property, Civil
Authority, Extended Business Income, Ingress and Egress, 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
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suspension of business and continue operations. In particular, The Cincinnati Insurance Company
has denied claims submitted by Plaintiffs under their 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.
Plaintiff Grand Street Dining, LLC is a Missouri limited liability company, with its
principal place of business in Kansas City, Missouri. Plaintiff Grand Street Dining, LLC owns and
operates Grand Street Cafe located at 4740 Grand Ave., Ste. 100, Kansas City, Missouri 64112.
13.
Plaintiff GSD Lenexa, LLC is a Kansas limited liability company, with its principal
place of business in Lenexa, Kansas. Plaintiff GSD Lenexa, LLC owns and operates Grand Street
Cafe located at 8815 Renner Ave., Lenexa, Kansas 66219.
14.
Plaintiff Grand Street Dining, LLC and Plaintiff GSD Lenexa, LLC are hereafter
collectively referred to as “Grand Street.”
15.
Plaintiff Trezomare Operating Company, LLC (“Trezomare”) is a Missouri limited
liability company, with its principal place of business in Kansas City, Missouri. Plaintiff
Trezomare owns and operates Trezo Mare Restaurant located at 4105 N Mulberry Dr., Kansas
City, Missouri 64116.
16.
Plaintiff V’s Restaurant, Inc. (“V’s Restaurant”) is a Missouri corporation, with its
principal place of business and corporate headquarters in Independence, Missouri. Plaintiff V’s
Restaurant owns and operates V’s Italiano Ristorante located at 10819 East US Highway 40,
Independence, Missouri 64055.
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17.
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
18.
This Court has jurisdiction over this action pursuant to 28 U.S.C. § 1332, because
Plaintiffs 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.
19.
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
is the subject of this action is situated in this judicial district. The policies at issue cover Plaintiffs’
premises located in the State of Missouri and Plaintiffs purchased their policies in the State of
Missouri.
IV.
FACTUAL BACKGROUND
The Insurance Policies
20.
In return for the payment of a premium, Cincinnati issued Policy No. ECP0504158
to Plaintiff Studio 417, Inc., 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. Upon information and belief, the forms and endorsements in the Policy
are materially the same as those policies held by the members of the proposed class. Plaintiff
Studio 417, Inc. has performed all of its obligations under Policy No. ECP0504158, including the
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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.
21.
In return for the payment of a premium, Cincinnati issued Policy No. ECP0515325
to Grand Street, for a policy period of December 5, 2018 to December 5, 2021, including a
Building and Personal Property Coverage Form and Business Income (And Extra Expense)
Coverage Form. Upon information and belief, the forms and endorsements in the Policy are
materially the same as those policies held by the members of the proposed class. Grand Street has
performed all of its obligations under Policy No. ECP0515325, including the payment of
premiums. The Covered Property, with respect to the Building and Personal Property Coverage
Form, is the Grand Street Cafe restaurants located at 4740 Grand Ave., Ste. 100, Kansas City,
Missouri 64112 and 8815 Renner Ave., Lenexa, Kansas 66219.
22.
In return for payment of a premium, Cincinnati issued Policy No. ECP0443843 to
Trezomare for a policy period of July 1, 2017 to July 1, 2020, including a Building and Personal
Property Coverage Form and Business Income (And Extra Expense) Coverage Form. Upon
information and belief, the forms and endorsements in the Policy are materially the same as those
policies held by the members of the proposed class. Trezomare has performed all of its obligations
under Policy No. ECP0443843, including the payment of premiums. The Covered Property, with
respect to the Building and Personal Property Coverage Form, is the Trezo Mare restaurant located
at 4105 N Mulberry Dr., Kansas City, Missouri 64116.
23.
In return for payment of a premium, Cincinnati issued Policy No. ECP0477874 to
V’s Restaurant for a policy period of March 1, 2018 to March 1, 2021, including a Building and
Personal Property Coverage Form and Business Income (And Extra Expense) Coverage Form.
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Upon information and belief, the forms and endorsements in the Policy are materially the same as
those policies held by the members of the proposed class. V’s Restaurant has performed all of its
obligations under Policy No. ECP0477874, including the payment of premiums. The Covered
Property, with respect to the Building and Personal Property Coverage Form, is the V’s Italiano
Ristorante located at 10819 East US Highway 40, Independence, Missouri 64055.
24.
Plaintiffs are the Named Insured under their respective policies, which remain in
force.
25.
Defendant is the effective and liable insurer of the policies meeting the class
definition.
26.
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.
27.
Under the heading “Covered Causes of Loss,” Defendant agreed to pay for “direct
‘loss’ unless the ‘loss’ is excluded or limited” in the policies.
28.
Defendant did not exclude or limit coverage for losses from viruses in Plaintiffs’
policies or those of the other Class members. The policies also did not exclude pandemic coverage,
communicable disease coverage or anything similar.
29.
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.
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30.
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.
31.
“Loss” is defined to mean accidental physical loss or accidental physical damage.
32.
“Suspension” is defined to mean the slowdown or cessation of business activities
and that part or all of the covered premises is rendered untenable.
33.
“Period of restoration” is defined to mean the period of time that begins at the
time of direct loss.
34.
“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.
35.
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
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.
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36.
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”).
37.
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.
38.
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 have sustained if
there had been no direct loss to property caused by or resulting from a Covered Cause of Loss.
39.
“Extra Expense” includes expenses to avoid or minimize the suspension of
business, continue operations, and to repair or replace property.
40.
Defendant also agreed to “pay for the actual loss of ‘Business Income’” sustained
due to the necessary suspension of operations “caused by direct ‘loss’ to ‘dependent property.’”
41.
“Dependent property” means property operated by others whom you depend on to
deliver material or services to you, accept your products or services, manufacture products for
delivery to your customers, or attract customers to your business.
42.
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
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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….”
43.
Defendant also agreed to “pay for the actual loss of ‘Business Income’” sustained
“and Extra Expense” incurred during the period that begins on the date that the property is actually
repaired, rebuilt or replaced and operations are resumed and ends on the earlier of: a) the date you
could restore your operations, with reasonable speed, to the level which would generate the
business income amount that would have existed if no loss had occurred; or b) after 60 consecutive
days. This is referred to as the Extended Business Income coverage.
44.
Defendant also agreed to “pay for the actual loss of ‘Business Income’” sustained
“and necessary Extra Expense” sustained “caused by the prevention of existing ingress or egress”
to the covered premises due to a loss at a location contiguous to the premises.
45.
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, Plaintiffs were required to suspend operations to reduce the
spread of COVID-19 and further losses occasioned by its spread on Plaintiffs’ premises.
46.
Losses caused by COVID-19 and the related orders issued by local, state, and
federal authorities triggered the Business Income, Extra Expense, Dependent Property, Civil
Authority, Extended Business Income, Ingress and Egress, and Sue and Labor provisions of
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Defendant’s policies.
COVID-19 and the Covered Cause of Loss
47.
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.
48.
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.
49.
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.
50.
More specifically, COVID-19 infections are spread through droplets of different
sizes which can be deposited on surfaces or objects.
51.
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.
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52.
COVID-19 has been transmitted by way of human contact with surfaces and items
of physical property located at premises in Missouri.
53.
COVID-19 has been transmitted by human to human contact and interaction with
premises in Missouri.
54.
COVID-19 has been transmitted by way of human contact with airborne COVID-
19 particles emitted into the air at premises in Missouri.
55.
The presence of any COVID-19 particles renders items of physical property
unsafe and the premises unsafe.
56.
The presence of any COVID-19 particles on physical property impairs its value,
usefulness and/or normal function.
57.
The presence of any COVID-19 particles causes direct physical harm, direct
physical damage and direct physical loss to property.
58.
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.
59.
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.
60.
Plaintiffs’ premises likely have been infected with COVID-19 and they have
suffered direct physical loss to their 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
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other visitors to the insured properties over the last several months were infected with COVID-19
and thereby infected the insured properties with COVID-19.
61.
To reduce the spread of the disease, the CDC has recommended that businesses
clean and disinfect all surfaces, prioritizing the most frequently touched surfaces.
62.
COVID-19 has been declared a pandemic by the World Health Organization.
63.
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, restaurants,
bars and other establishments.
64.
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
65.
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.
66.
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.
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67.
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
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.
68.
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.
69.
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.
70.
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.
71.
On March 12, 2020, Quinton D. Lucas, the Mayor of the City of Kansas City,
Missouri, issued a proclamation declaring a state of emergency, stating that the continued spread
of COVID-19 constitutes a natural calamity and presents an imminent threat of widespread illness,
which requires emergency action. The proclamation was ordered “to protect life and property” and
permitted the city to order evacuations, close public places, impose curfews, limit public gathering
and assemblies, and to order the closing of any and all businesses.
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72.
On March 21, 2020, Mayor Lucas issued a civil authority order stating in pertinent
part:
a. The COVID-19 virus spreads between people who are in close contact with one
another through respiratory droplets produced when an infected person coughs
or sneezes;
b. A gathering of individuals without necessary mitigation for the spread of
infection may pose a risk of the spread of infectious disease;
c. That the City wishes to impose all means available under the law to protect
public life, health, safety and property;
d. That as of March 16, 2020, numerous cases of COVID-19 illness, including a
fatality and evidence of community transmission, have been identified in
jurisdictions bordering Kansas City; and
e. That on March 20, 2020, the Kansas City Health Department confirmed 12
cases, including possible community spread, of the COVID-19 illness in Kansas
City, Missouri.
73.
Mayor Lucas’ March 21, 2020 order required all individuals 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 all restaurants to suspend operations
except for providing delivery or carry out only. The order was to remain in effect until 11:59 PM
on April 24, 2020.
74.
On April 16, 2020, Mayor Lucas amended the March 21, 2020 order and extended
its enforcement to 12:01 AM on May 15, 2020.
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75.
On March 12, 2020, Eileen Weir, the Mayor of the City of Independence, declared
a State of Emergency in the City of Independence, Missouri due to Covid-19. City Code 11.12.004
granted Mayor Weir emergency powers to promulgate emergency orders deemed necessary to
protect life and property. As stated by Mayor Weir: “I am today declaring a state of emergency as
outlined in our City Charter to preserve the peace, property and safety of our citizens.”
76.
On March 16, 2020, Mayor Weir declared that all public gatherings are prohibited
until March 31. She specifically ordered that all inside seating is prohibited at restaurants and that
restaurants are only permitted to provide drive-thru, curbside pick-up or delivery services.
77.
On March 17, 2020, Mayor Weir confirmed that Covid-19 was present in the
community. She further declared that city staff will be monitoring restaurants, bars and taverns, to
ensure that they are following the guidelines set forth by Mayor Weird under the March 12, 2020
State of Emergency.
78.
On March 22, 2020, Mayor Weir announced that as of 12:01 AM on March 24,
2020, all residents are ordered to “stay-at-home.” She further ordered that all restaurants, bars and
taverns are closed until at least April 24. Restaurants can only provide curbside, to-go or delivery
services.
79.
On April 16, 2020, Mayor Weir announced that the “stay-at-home” order for
Independence, Missouri had been extended to at least May 15, 2020. She further ordered that all
restaurants, bars and taverns are closed until at least May 15. Restaurants can only provide
curbside, to-go or delivery services.
80.
On March 21, 2020, the Governor of the State of Missouri issued a civil authority
order limiting social gatherings of more than 10 people and directing that every person in the State
of Missouri shall avoid eating or drinking at restaurants, bars, or food courts, provided, however,
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that the use of drive-thru, pickup, or delivery options is allowed throughout the duration of the
order. 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.
81.
Plaintiffs’ businesses did not and do not qualify as Essential Businesses and were
required to cease and/or significantly reduce operations at all their locations.
82.
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.
83.
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
and slow the spread of COVID-19 in the state.
84.
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
Plaintiffs’ businesses.
85.
As a response to COVID-19 and the Pandemic, the Governor of Missouri and the
mayors of Springfield, Kansas City, and Independence, Missouri have issued these orders pursuant
to the authority vested in them by the Missouri Constitution, the laws of Missouri and the
ordinances of their respective cities.
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86.
Similarly, the Missouri Department of Health, pursuant to its authority under
Missouri law, has issued orders, including a Stay at Home Order.
87.
The State of Missouri is a civil authority contemplated by Defendant’s policy.
88.
The City of Springfield, Kansas City, and Independence, Missouri are civil
authorities contemplated by Defendant’s policy.
89.
The Governor of the State of Missouri is a civil authority contemplated by
Defendant’s policy.
90.
The mayors of Springfield, Kansas City, and Independence, Missouri are civil
authorities contemplated by Defendant’s policy.
The Kansas Closure Orders
91.
On March 12, 2020, the State of Kansas declared a state of disaster emergency
due to the pandemic and public health emergency of COVID-19.
92.
On March 22, 2020, Johnson County, Kansas issued an Emergency Public Health
Order stating that on March 19, 2020, the Board of County Commissioners of Johnson County,
Kansas found that a disaster had occurred, or the threat thereof was imminent within Johnson
County, Kansas as a result of the Coronavirus pandemic (COVID-19) and the confirmed outbreak
and person-to-person spread of COVID-19 in Johnson County, Kansas. The Order stated that
COVID-19 had been confirmed in Johnson County, Kansas and the conditions endanger health,
safety and welfare of persons and property within the border of Johnson County, Kansas. As a
result, the Order cancelled large gatherings, implemented social distancing requirements, ordered
individuals to stay at home except to perform essential activities, and suspension of businesses
unless excluded as essential. The Order required all restaurants to suspend operations except for
providing delivery or carry out only, but expressly forbid consumption on the premises. This Order
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became effective at 12:01 AM on March 24, 2020 and was to remain in force until 12:01 AM on
April 23, 2020.
93.
On March 28, 2020, the Governor of the State of Kansas issued Executive Order
No. 20-16, which required Kansas residents to stay at home unless performing an essential activity.
The order further restricted what businesses could continue operations and closed all restaurants
except for preparing and serving meals for takeout or delivery. As of March 28, 2020, there had
been 202 positive cases of COVID-19 in Kansas, spread among 31 counties.
94.
On April 11, 2020, the State of Kansas issued guidance regarding Executive Order
No. 20-16 to make it clear that “dine-in service at restaurants and bars is not an essential function
or essential activity and therefore remains prohibited….” The guidance further stated, “Restaurants
and bars may not reopen for dine-in service.”
95.
On April 16, 2020, the State of Kansas issued Executive Order No. 20-24,
extending Executive Order 20-16 to May 3, 2020. As of April 16, 2020, there had been over 1,426
positive cases of COVID-19 in Kansas, spread among 62 counties, and 69 deaths as a result of the
illness.
96.
The Kansas Closure Orders were issued in response to the rapid spread of COVID-
19 throughout Kansas and are civil authority orders requiring the suspension of Plaintiff Grand
Street’s businesses.
97.
The State of Kansas is a civil authority contemplated by Defendant’s policy.
98.
The Board of County Commissioners of Johnson County, Kansas is a civil authority
contemplated by Defendant’s policy.
99.
The Governor of the State of Kansas is a civil authority contemplated by
Defendant’s policy.
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The Impact of COVID-19 and the Closure Orders
100.
Loss of use of property that has not been physically altered constitutes “physical
loss or damage” for purposes of first-party property insurance.
101.
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.
102.
The presence of COVID-19 caused direct physical loss of or damage to the covered
property or “premises” under the Plaintiffs’ policies, 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.
103.
The Closure Orders prohibited access to and use of Plaintiffs’ 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.
104.
The presence of COVID-19 and the Closure Orders caused a direct loss to
Plaintiffs’ dependent property, which resulted in a loss of Business Income sustained.
105.
The presence of COVID-19 and the Closure Orders caused a direct loss to locations
contiguous to Plaintiffs’ premises, which prevented existing ingress and/or egress at Plaintiffs’
premises and caused a loss of Business Income sustained and necessary Extra Expense incurred.
106.
The State of Missouri, through the Governor and Department of Health, and the
City of Springfield, Kansas City, and Independence, Missouri, through their mayors, have issued
and continue to issue authoritative orders governing Missourians and Missouri businesses,
including the Plaintiffs’ businesses, in response to COVID-19 and the Pandemic, the effect of
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which have required and continue to require Plaintiffs to cease and/or significantly reduce
operations at, and that have prohibited and continue to prohibit access to, the premises described
in their policies.
107.
The State of Kansas, through the Governor and Department of Health, and the
Johnson County, Kansas, through its Board of Commissioners, have issued and continue to issue
authoritative orders governing Kansans and Kansas businesses, including the Plaintiff Grand
Street’s business, in response to COVID-19 and the Pandemic, the effect of which have required
and continue to require Plaintiff Grand Street to cease and/or significantly reduce operations at,
and that have prohibited and continue to prohibit access to, the premises described in their policy.
108.
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
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
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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.”
109.
As a result of the presence of COVID-19 and the Closure Orders, Plaintiffs and the
other Class members lost Business Income and incurred Extra Expense.
Plaintiff Submitted Notices of Loss to Cincinnati
and was Wrongfully Denied Coverage
110.
Plaintiffs submitted notices of loss to Cincinnati under their policies due to the
presence of COVID-19 and the Closure Orders, and Cincinnati denied those claims.
111.
On April 16, 2020, Cincinnati sent a denial letter to Studio 417, Inc. ostensibly
denying coverage for the losses sustained as a result of COVID-19 and the Closure Orders.
112.
On April 21, 2020, Cincinnati sent a letter to Grand Street ostensibly denying
coverage for the losses sustained as a result of COVID-19 and the Closure Orders. Cincinnati’s
denial letter to Grand Street incorrectly stated that Cincinnati “cannot indemnify Tiger Notions
DBA Jazz A Louisiana for any loss of business income from Coronavirus.” (emphasis added).
Upon information and belief, Cincinnati’s denial letter to Grand Street was a cut-and-paste of a
denial to another Cincinnati insured.
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113.
On April 21, 2020, Cincinnati sent a denial letter to Trezomare ostensibly denying
coverage for the losses sustained as a result of COVID-19 and the Closure Orders. Cincinnati’s
denial letter to Trezomare incorrectly stated that Cincinnati “cannot indemnify [NAMED
INSURED] for any loss of business income from Coronavirus.” (emphasis added).
114.
On April 30, 2020, Cincinnati sent a denial letter to V’s Restaurant ostensibly
denying coverage for the losses sustained as a result of COVID-19 and the Closure Orders.
115.
The denial letters that Cincinnati sent to Plaintiffs are nearly identical in form and
substance.
116.
Upon information and belief, Cincinnati is using a form denial letter to deny
coverage to all its insureds with policies similar to Plaintiffs and is otherwise uniformly refusing
to pay insureds under its standard policy for losses related to COVID-19.
V.
CLASS ACTION ALLEGATIONS
117.
Plaintiffs bring 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.
118.
Plaintiffs 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
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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”).
119.
Plaintiffs seek to represent nationwide classes for extra expense coverage defined
as:
a.
All persons and entities with Extra Expense coverage under a property
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”).
120.
Plaintiffs seek to represent nationwide classes for dependent property coverage
defined as:
a.
All persons and entities with Dependent Property coverage under a
property insurance policy issued by Cincinnati that suffered a suspension
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of business due to COVID-19 causing a direct loss to dependent property
(the “Dependent Property Declaratory Judgment Class”).
b.
All persons and entities that: had Dependent Property coverage under a
property insurance policy issued by Cincinnati; suffered a suspension of
business related to COVID-19 causing a direct loss to dependent property;
made a claim under their property insurance policy issued by Cincinnati;
and were denied Dependent Property coverage by Cincinnati for the
suspension of business resulting from the presence or threat of COVID-19
(the “Dependent Property Breach Class”).
121.
Plaintiffs 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
Breach Class”).
122.
Plaintiffs seek to represent nationwide classes for extended business income
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coverage defined as:
a.
All persons and entities with Extended 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 “Extended Business Income Declaratory Judgment Class”).
b.
All persons and entities that: had Extended 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 Extended Business Income
coverage by Cincinnati for the suspension of business resulting from the
presence or threat of COVID-19 (the “Extended Business Income Breach
Class”).
123.
Plaintiffs seek to represent nationwide classes for ingress and egress coverage
defined as:
a.
All persons and entities with Ingress and Egress coverage under a property
insurance policy issued by Cincinnati that suffered an actual loss caused by
the prevention of existing ingress or egress at the premises covered by their
Cincinnati property insurance policy (the “Ingress and Egress Declaratory
Judgment Class”).
b.
All persons and entities that: had Ingress and Egress coverage under a
property insurance policy issued by Cincinnati; suffered an actual loss
caused by the prevention of existing ingress or egress at the premises
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covered by their Cincinnati property insurance policy; made a claim under
their property insurance policy issued by Cincinnati; and were denied
Ingress and Egress coverage by Cincinnati for the suspension of business
resulting from the presence or threat of COVID-19 (the “Ingress and Egress
Breach Class”).
124.
Plaintiffs 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”).
125.
Plaintiffs seek to represent a Missouri subclass, or all policyholders who purchased
one of Defendant’s policies in Missouri and were denied coverage due to COVID-19.
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126.
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. Plaintiffs reserve
the right to modify or amend each of the Class definitions, as appropriate, during this litigation.
127.
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).
128.
The members of each defined Class are so numerous that individual joinder of all
Class members is impracticable. While Plaintiffs are informed and believe that there are thousands
of members of each Class, the precise number of Class members is unknown to Plaintiffs 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.
Commonality and Predominance—Federal Rule of Civil Procedure 23(a)(2) and 23(b)(3).
129.
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;
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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 Dependent Property coverage applies to a suspension
of business caused by COVID-19 and/or the Stay at Home Orders;
g.
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;
h.
whether Cincinnati’s Extended Business Income coverage applies to a
suspension of business caused by COVID-19 and/or the Stay at Home
Orders;
i.
whether Cincinnati’s Ingress and Egress coverage applies to a prevention of
existing ingress or egress caused by COVID-19 and/or the Stay at Home
Orders;
j.
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;
k.
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
l.
whether Plaintiffs and the Class are entitled to an award of reasonable
attorney fees, interest and costs.
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Typicality—Federal Rule of Civil Procedure 23(a)(3)
130.
Plaintiffs’ claims are typical of the other Class members’ claims because Plaintiffs
and the other Class members are all similarly affected by Cincinnati’s refusal to pay under its
Business Income, Extra Expense, Dependent Property, Civil Authority, Extended Business
Income, Ingress and Egress, and Sue and Labor coverages. Plaintiffs’ claims are based upon the
same legal theories as those of the other Class members. Plaintiffs 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).
131.
Plaintiffs are adequate Class and Missouri subclass representatives because they
are a member of the class, their interests do not conflict with the interests of the other Class
members who they seek to represent, Plaintiffs have 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 Plaintiffs intend to prosecute this action vigorously. The interests of the above-
defined Classes will be fairly and adequately protected by Plaintiffs and their counsel.
Inconsistent Adjudications and Impediments to Others—Federal Rule of Civil Procedure
23(b)(1).
132.
Plaintiffs seek class-wide adjudication as to the interpretation, and resultant scope,
of Cincinnati’s Business Income, Extra Expense, Dependent Property, Civil Authority, Extended
Business Income, Ingress and Egress, and Sue and 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 Plaintiffs could, as a practical matter, substantially impair
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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).
133.
Cincinnati acted or refused to act (or intends to refuse) on grounds generally
applicable to Plaintiffs 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).
134.
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
135.
In the alternative, Plaintiffs reserve the right to seek certification of one or more
common issues pursuant to Rule 23(c)(4). In addition, Plaintiffs reserve 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
following policy provisions: Business Income, Extra Expense, Dependent Property, Civil
Authority, Extended Business Income, Ingress and Egress, and/or Sue and Labor and/or other
subclasses that may be appropriate or necessary.
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VI.
LEGAL CLAIMS FOR RELIEF
COUNT I – Declaratory Judgment – Business Income Coverage
(Brought on behalf of the Business Income Declaratory Judgment Class)
136.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
137.
Plaintiffs bring this Count individually and on behalf of the other members of the
Business Income Declaratory Judgment Class and Missouri Subclass.
138.
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.
139.
Plaintiffs’ Cincinnati policies, 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 Plaintiffs and the other Business Income Declaratory Judgment
Class members’ losses for claims covered by the policy.
140.
Plaintiffs and the other Business Income Declaratory Judgment Class members
have complied with all applicable provisions of the policies and/or those provisions have 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 Plaintiffs and the other
Business Income Declaratory Judgment Class members are entitled.
141.
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.
142.
An actual case or controversy exists regarding Plaintiffs and the other Business
Income Declaratory Judgment Class members’ rights and Cincinnati’s obligations under the
policies to reimburse Plaintiffs for the full amount of Business Income losses incurred by Plaintiffs
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and the other Business Income Declaratory Judgment Class members in connection with
suspension of their businesses stemming from the COVID-19 pandemic.
143.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Business Income Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiffs 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 Plaintiffs 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.
Plaintiffs further seek an injunction 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)
144.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
145.
Plaintiffs bring this Count individually and on behalf of the other members of the
Business Income Breach Class and Missouri Subclass.
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146.
Plaintiffs’ 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 Plaintiffs and the other Business Income Breach Class members’ losses for claims
covered by the policy.
147.
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.”
148.
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.
149.
“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.
150.
COVID-19 caused direct physical loss of or damage to Plaintiffs’ 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 Plaintiffs and the other Business Income Breach Class members’ Cincinnati policies.
151.
Plaintiffs and the other Business Income Breach Class members have complied
with all applicable provisions of their policies and/or those provisions have 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.
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152.
By denying coverage for any Business Income losses incurred by Plaintiffs and the
other Business Income Breach Class members in connection with the COVID-19 pandemic,
Defendant has breached its coverage obligations under the policies.
153.
As a result of Defendant’s breaches of the policies, Plaintiffs 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)
154.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
155.
Plaintiffs bring this Count individually and on behalf of the other members of the
Extra Expense Declaratory Judgment Class and Missouri Subclass.
156.
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.
157.
Plaintiffs’ Cincinnati insurance policies, 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 Plaintiffs and the other Extra Expense Declaratory Judgment
Class members’ losses for claims covered by the policy.
158.
Plaintiffs and the other Extra Expense Declaratory Judgment Class members have
complied with all applicable provisions of the policies and/or those provisions have 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 Plaintiffs and the other Class
members are entitled.
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159.
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.
160.
An actual case or controversy exists regarding Plaintiffs’ and the other Extra
Expense Declaratory Judgment Class members’ rights and Defendant’s obligations under the
policies to reimburse Plaintiffs and the other Extra Expense Declaratory Judgment Class members
for the full amount of Extra Expense losses incurred by Plaintiffs in connection with Closure
Orders and the necessary interruption of their businesses stemming from the COVID-19 pandemic.
161.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Extra Expense Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiffs 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 Plaintiffs 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.
Plaintiffs further seek an injunction 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)
162.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
163.
Plaintiffs bring this Count individually and on behalf of the other members of the
Extra Expense Breach Class and Missouri Subclass.
164.
Plaintiffs’ 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 Plaintiffs and the other Extra Expense Breach Class members’ losses for claims
covered by the policy.
165.
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.
166.
“Extra Expense” includes expenses to avoid or minimize the suspension of
business, continue operations, and to repair or replace property.
167.
Due to COVID-19 and the Closure Orders, Plaintiffs and the other members of the
Extra Expense Breach Class incurred Extra Expense at Covered Property. Plaintiffs and the other
members of the Extra Expense Breach Class have complied with all applicable provisions of the
policies and/or those provisions have 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.
168.
By denying coverage for any business losses incurred by Plaintiffs 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 16 Filed 06/01/20 Page 37 of 55
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COVID-19 pandemic, Defendant has breached its coverage obligations under the policies.
169.
As a result of Defendant’s breaches of the policies, Plaintiffs and the other members
of the Extra Expense Breach Class have sustained substantial damages for which Defendant is
liable, in an amount to be established at trial.
COUNT V – Declaratory Judgment – Dependent Property Coverage
(Brought on behalf of the Dependent Property Declaratory Judgment Class)
170.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
171.
Plaintiffs bring this Count individually and on behalf of the other members of the
Dependent Property Declaratory Judgment Class and Missouri Subclass.
172.
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.
173.
Plaintiffs’ Cincinnati policies, as well as those of the other Dependent Property
Declaratory Judgment Class members, are contracts under which Cincinnati was paid premiums
in exchange for its promise to pay Plaintiffs and the other Dependent Property Declaratory
Judgment Class members’ losses for claims covered by the policy.
174.
Plaintiffs and the other Dependent Property Declaratory Judgment Class members
have complied with all applicable provisions of the policies and/or those provisions have 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 Plaintiffs and the other
Dependent Property Declaratory Judgment Class members are entitled.
175.
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 have filed a claim.
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176.
An actual case or controversy exists regarding Plaintiffs and the other Dependent
Property Declaratory Judgment Class members’ rights and Cincinnati’s obligations under the
policies to reimburse Plaintiffs for the full amount of Business Income losses incurred by Plaintiffs
and the other Dependent Property Declaratory Judgment Class members in connection with
suspension of their businesses stemming from the COVID-19 pandemic.
177.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Dependent Property
Declaratory Judgment Class members seek a declaratory judgment from this Court declaring the
following:
a.
Plaintiffs and the other Dependent Property Declaratory Judgment Class
members’ Business Income losses sustained in connection with the Closure
Orders and the necessary interruption of their businesses and dependent
properties stemming from the COVID-19 pandemic are insured losses
under their policies;
b.
Cincinnati is obligated to pay Plaintiffs and the other Dependent Property
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.
Plaintiffs further seek an injunction enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Dependent Property coverage form and ordering Defendant to
comply with the terms of the policies in regards to coverage decisions.
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COUNT VI – Breach of Contract – Dependent Property Coverage
(Brought on behalf of the Dependent Property Breach Class)
178.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
179.
Plaintiffs bring this Count individually and on behalf of the other members of the
Dependent Property Breach Class and Missouri subclass.
180.
Plaintiffs’ Cincinnati policies, as well as those of the other Dependent Property
Breach Class members, are contracts under which Cincinnati were paid premiums in exchange for
their promise to pay Plaintiffs and the other Dependent Property Breach Class members’ losses for
claims covered by the policy.
181.
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” when “caused by direct ‘loss’ to ‘dependent property.’”
182.
“Loss” means accidental physical loss or accidental physical damage.
183.
“Dependent property” means property operated by others whom you depend on to
deliver material or services to you, accept your products or services, manufacture products for
delivery to your customers, or attract customers to your business.
184.
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 24 hours after the time of direct loss.
185.
“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.
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186.
COVID-19 caused direct physical loss of or damage to Plaintiffs’ and the other
Business Income Breach Class members’ dependent property, requiring suspension of operations
at the Covered Properties. Losses caused by COVID-19 thus triggered the Dependent Property
provision of Plaintiffs and the other Dependent Property Breach Class members’ Cincinnati
policies.
187.
Plaintiffs and the other Dependent Property Breach Class members have complied
with all applicable provisions of their policies and/or those provisions have 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.
188.
By denying coverage for any Business Income losses incurred by Plaintiffs and the
other Dependent Property Breach Class members in connection with the COVID-19 pandemic,
Cincinnati has breached its coverage obligations under the policies.
189.
As a result of Cincinnati’s breaches of the policies, Plaintiffs and the other
Dependent Property Breach Class members have sustained substantial damages for which
Cincinnati is liable, in an amount to be established at trial.
COUNT VII – Declaratory Judgment – Civil Authority Coverage
(Brought on behalf of the Civil Authority Declaratory Judgment Class)
190.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
191.
Plaintiffs bring this Count individually and on behalf of the other members of the
Civil Authority Declaratory Judgment Class and Missouri Subclass.
192.
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.
193.
Plaintiffs’ Cincinnati insurance policies, as well as those of the other Civil
Authority Declaratory Judgment Class members, are contracts under which Defendant was paid
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premiums in exchange for its promise to pay Plaintiffs and the other Civil Authority Declaratory
Judgment Class members’ losses for claims covered by the policy.
194.
Plaintiffs and the other Civil Authority Declaratory Judgment Class members have
complied with all applicable provisions of the policies and/or those provisions have 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 Plaintiffs and the other Class
members are entitled.
195.
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.
196.
An actual case or controversy exists regarding Plaintiffs and the other Civil
Authority Declaratory Judgment Class members’ rights and Defendant’s obligations under the
policies to reimburse Plaintiffs and the other Civil Authority Declaratory Judgment Class members
for the full amount of covered Civil Authority losses incurred by Plaintiffs 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.
197.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Civil Authority Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiffs 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;
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 42 of 55
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b.
Defendant is obligated to pay Plaintiffs 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.
Plaintiffs further seek an injunction 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 VIII – Breach of Contract – Civil Authority Coverage
(Brought on behalf of the Civil Authority Breach Class)
198.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
199.
Plaintiffs bring this Count individually and on behalf of the other members of the
Civil Authority Breach Class and Missouri Subclass.
200.
Plaintiffs’ 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 Plaintiffs and the other Civil Authority Breach Class members’
losses for claims covered by their policies.
201.
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
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 43 of 55
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the damage….”
202.
The Closure Orders triggered the Civil Authority provision under Plaintiffs and the
other members of the Civil Authority Breach Class’s Cincinnati insurance policies.
203.
Plaintiffs and the other members of the Civil Authority Breach Class have complied
with all applicable provisions of the policies, and/or those provisions have 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.
204.
By denying coverage for any business losses incurred and extra expenses sustained
by Plaintiffs 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.
205.
As a result of Defendant’s breaches of the policies, Plaintiffs and the other members
of the Civil Authority Breach Class have sustained substantial damages for which Defendant is
liable, in an amount to be established at trial.
COUNT IX – Declaratory Judgment – Extended Business Income Coverage
(Brought on behalf of the Extended Business Income Declaratory Judgment Class)
206.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
207.
Plaintiffs bring this Count individually and on behalf of the other members of the
Extended Business Income Declaratory Judgment Class and Missouri Subclass.
208.
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.
209.
Plaintiffs’ Cincinnati insurance policy, as well as those of the other Extended
Business Income Declaratory Judgment Class members, are contracts under which Cincinnati was
paid premiums in exchange for its promise to pay Plaintiffs and the other Extended Business
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 44 of 55
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Income Declaratory Judgment Class members’ losses for claims covered by the policy.
210.
Plaintiffs and the other Extended Business Income Declaratory Judgment Class
members have complied with all applicable provisions of the policies and/or those provisions have
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 Plaintiffs and the other
Class members are entitled.
211.
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 have filed a claim.
212.
An actual case or controversy exists regarding Plaintiffs and the other Extended
Business Income Declaratory Judgment Class members’ rights and Cincinnati’s obligations under
the policies to reimburse Plaintiffs and the other Extended Business Income Declaratory Judgment
Class members for the full amount of covered Extended Business Income losses incurred by
Plaintiffs and the other Extended Business Income Declaratory Judgment Class members in
connection with Closure Orders and the necessary interruption of their businesses stemming from
the COVID-19 pandemic.
213.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Extended Business Income
Declaratory Judgment Class members seek a declaratory judgment from this Court declaring the
following:
a.
Plaintiffs and the other Extended Business Income Declaratory Judgment
Class members’ Extended Business Income losses incurred in connection
with the Closure Orders and the necessary interruption of their businesses
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 45 of 55
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stemming from the COVID-19 pandemic are insured losses under their
policies;
b.
Cincinnati is obligated to pay Plaintiffs and the other Extended Business
Income Declaratory Judgment Class members the full amount of Extended
Business Income 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.
Plaintiffs further seek an injunction enjoining Defendant from continuing to
engage in conduct in breach of its policies in regards to coverage decisions
under the Extended Business Income coverage form and ordering
Defendant to comply with the terms of the policies in regards to coverage
decisions.
COUNT X – Breach of Contract – Extended Business Income Coverage
(Brought on behalf of the Extended Business Income Breach Class)
214.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
215.
Plaintiffs bring this Count individually and on behalf of the other members of the
Extended Business Income Breach Class and Missouri Subclass.
216.
Plaintiffs’ Cincinnati insurance policies, as well as those of the other Extended
Business Income Breach Class members, are contracts under which Cincinnati was paid premiums
in exchange for its promise to pay Plaintiffs and the other Extended Business Income Breach Class
members’ losses for claims covered by the policy.
217.
When a Business Income or Extra Expense loss occurs under the policy, Cincinnati
also agreed to “pay for the actual loss of ‘Business Income’” sustained “and Extra Expense”
incurred during the period that begins on the date that the property is actually repaired, rebuilt or
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 46 of 55
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replaced and operations are resumed and ends on the earlier of: a) the date you could restore your
operations, with reasonable speed, to the level which would generate the business income amount
that would have existed if no loss had occurred; or b) after 60 consecutive days. This is referred to
as the Extended Business Income coverage.
218.
The Business Income and Extra Expenses losses suffered by Plaintiffs and the other
members of the Extended Business Income Breach Class triggered the Extended Business Income
provision under their Cincinnati insurance policies.
219.
Plaintiffs and the other members of the Extended Business Income Breach Class
have complied with all applicable provisions of the policies, and/or those provisions have 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.
220.
By denying coverage for any business losses sustained and extra expenses incurred
by Plaintiffs and other members of the Extended Business Income Breach Class in connection with
the Closure Orders and the COVID-19 pandemic, Cincinnati has breached its coverage obligations
under the policies.
221.
As a result of Cincinnati’s breaches of the policies, Plaintiffs and the other members
of the Extended Business Income Breach Class have sustained substantial damages for which
Cincinnati is liable, in an amount to be established at trial.
COUNT XI – Declaratory Judgment – Ingress and Egress Coverage
(Brought on behalf of the Ingress and Egress Declaratory Judgment Class)
222.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
223.
Plaintiffs bring this Count individually and on behalf of the other members of the
Ingress and Egress Declaratory Judgment Class and Missouri Subclass.
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 47 of 55
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224.
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.
225.
Plaintiffs’ Cincinnati insurance policy, as well as those of the other Ingress and
Egress Declaratory Judgment Class members, are contracts under which Cincinnati was paid
premiums in exchange for its promise to pay Plaintiffs and the other Ingress and Egress
Declaratory Judgment Class members’ losses for claims covered by the policy.
226.
Plaintiffs and the other Ingress and Egress Declaratory Judgment Class members
have complied with all applicable provisions of the policies and/or those provisions have 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 Plaintiffs and the other
Class members are entitled.
227.
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 have filed a claim.
228.
An actual case or controversy exists regarding Plaintiffs and the other Ingress and
Egress Declaratory Judgment Class members’ rights and Cincinnati’s obligations under the
policies to reimburse Plaintiffs and the other Ingress and Egress Declaratory Judgment Class
members for the full amount of covered Ingress and Egress losses incurred by Plaintiffs and the
other Ingress and Egress Declaratory Judgment Class members in connection with Closure Orders
and the necessary interruption of their businesses stemming from the COVID-19 pandemic.
229.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Ingress and Egress
Declaratory Judgment Class members seek a declaratory judgment from this Court declaring the
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 48 of 55
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following:
a.
Plaintiffs and the other Ingress and Egress Declaratory Judgment Class
members’ Ingress and Egress 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.
Cincinnati is obligated to pay Plaintiffs and the other Ingress and Egress
Declaratory Judgment Class members the full amount of the Ingress and
Egress 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.
Plaintiffs further seek an injunction 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 XII – Breach of Contract – Ingress and Egress Coverage
(Brought on behalf of the Ingress and Egress Breach Class)
230.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
231.
Plaintiffs bring this Count individually and on behalf of the other members of the
Ingress and Egress Breach Class and Missouri Subclass.
232.
Plaintiffs’ Cincinnati insurance policies, as well as those of the other Ingress and
Egress Breach Class members, are contracts under which Cincinnati was paid premiums in
exchange for its promise to pay Plaintiffs and the other Ingress and Egress Breach Class members’
losses for claims covered by the policy.
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 49 of 55
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233.
Cincinnati agreed to “pay for the actual loss of ‘Business Income’” sustained “and
necessary Extra Expense” sustained “caused by the prevention of existing ingress or egress” to the
covered premises.
234.
The Closure Orders and the COVID-19 pandemic caused direct loss to locations
contiguous to Plaintiffs’ premises and prevented existing ingress or egress to covered premises
and triggered the Ingress and Egress provision under Plaintiffs and the other members of the
Ingress and Egress Breach Class’s Cincinnati insurance policies.
235.
Plaintiffs and the other members of the Ingress and Egress Breach Class have
complied with all applicable provisions of the policies, and/or those provisions have 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.
236.
By denying coverage for any business losses sustained and extra expenses incurred
by Plaintiffs and other members of the Ingress and Egress Breach Class in connection with the
Closure Orders and the COVID-19 pandemic, Cincinnati has breached its coverage obligations
under the policies.
237.
As a result of Cincinnati’s breaches of the policies, Plaintiffs and the other members
of the Ingress and Egress Breach Class have sustained substantial damages for which Cincinnati
is liable, in an amount to be established at trial.
COUNT XIII – Declaratory Judgment – Sue and Labor Coverage
(Brought on behalf of the Sue and Labor Declaratory Judgment Class)
238.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
239.
Plaintiffs bring this Count individually and on behalf of the other members of the
Sue and Labor Declaratory Judgment Class and Missouri Subclass.
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 50 of 55
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240.
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.
241.
Plaintiffs’ Cincinnati insurance policies, 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 Plaintiffs and the other Sue and Labor Declaratory Judgment
Class members’ reasonably incurred expenses to protect Covered Property.
242.
Plaintiffs and the other Sue and Labor Declaratory Judgment Class members have
complied with all applicable provisions of the policies and/or those provisions have 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.
243.
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.
244.
An actual case or controversy exists regarding Plaintiffs and the other Sue and
Labor Declaratory Judgment Class members’ rights and Defendant’s obligations under the policies
to reimburse Plaintiffs and the other Sue and Labor Declaratory Judgment Class members for the
full amount Plaintiffs and the other members of the Sue and Labor Declaratory Judgment Class
reasonably incurred to protect Covered Property from further damage by COVID-19.
245.
Pursuant to 28 U.S.C. § 2201, Plaintiffs and the other Sue and Labor Declaratory
Judgment Class members seek a declaratory judgment from this Court declaring the following:
a.
Plaintiffs and the other Sue and Labor Declaratory Judgment Class
members reasonably incurred expenses to protect Covered Property from
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 51 of 55
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further damage by COVID-19 are insured losses under their policies;
b.
Defendant is obligated to pay Plaintiffs 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; and
c.
Plaintiffs further seek an injunction 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 XIV – Breach of Contract – Sue and Labor Coverage
(Brought on behalf of the Sue and Labor Breach Class)
246.
Plaintiffs repeat and reallege Paragraphs 1-135 as if fully set forth herein.
247.
Plaintiffs bring this Count individually and on behalf of the other members of the
Sue and Labor Breach Class and Missouri Subclass.
248.
Plaintiffs’ 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 Plaintiffs and the other Sue and Labor Breach Class members’ losses for claims
covered by the policy.
249.
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.
250.
In complying with the Closure Orders and otherwise suspending or limiting
operations, Plaintiffs and other members of the Sue and Labor Breach Class incurred expenses in
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 52 of 55
53
connection with reasonable steps to protect Covered Property.
251.
Plaintiffs and the other members of the Sue and Labor Breach Class have complied
with all applicable provisions of the policy and/or those provisions have 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.
252.
By denying coverage for any Sue and Labor expenses incurred by Plaintiffs 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.
253.
As a result of Defendant’s breaches of the policies, Plaintiffs 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.
VII.
REQUEST FOR RELIEF
WHEREFORE, Plaintiffs, 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 Plaintiffs as
representatives of the classes, appointing Plaintiffs’ 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;
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 53 of 55
54
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 Plaintiffs’ attorneys’ fees;
h.
For Plaintiffs’ 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, Plaintiffs hereby demand a
trial by jury on all matters so triable.
Dated: June 1, 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
Case 6:20-cv-03127-SRB Document 16 Filed 06/01/20 Page 54 of 55
55
WAGSTAFF & CARTMELL LLP
/s/ Tyler W. Hudson
Tyler W. Hudson
MO # 53585
Thomas A. Rottinghaus
MO # 50106
Jack T. Hyde
MO # 63903
4740 Grand Avenue, Suite 300
Kansas City, MO 64112
(816) 701-1100 (telephone)
(816) 531-2372 (facsimile)
thudson@wcllp.com
trottinghaus@wcllp.com
jhyde@wcllp.com
Attorneys for Plaintiffs
CERTIFICATE OF SERVICE
I hereby certify that on this 1st day of June 2020, I electronically filed the foregoing document with
the Clerk of the Court using the CM/ECF system, which will send a notice of electronic filing to counsel
of record for this case.
/s/ Brandon J.B. Boulware
Attorney for Plaintiff
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