Court filing
Plaintiffs’ Suggestions in Opposition to the Motion to Dismiss — Studio 417 v. Cincinnati Insurance
Filed July 20, 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 | 2020-07-20 |
U.S. District Court for the Western District of Missouri, Southern Division · No. 6:20-cv-03127-SRB · Doc. 31 · 2020-07-20 · Docket on CourtListener
Full text
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-SRB
PLAINTIFFS’ SUGGESTIONS IN OPPOSITION TO DEFENDANT
THE CINCINNATI INSURANCE COMPANY’S MOTION TO DISMISS
Brandon J.B. Boulware
Jeremy M. Suhr
Boulware Law LLC
1600 Genessee Street
Suite 416
Kansas City, MO 64102
Tele: (816) 492-2826
brandon@boulware-law.com
jeremy@boulware-law.com
Todd Johnson
Votava Nantz & Johnson, LLC
9237 Ward Parkway, Suite 240
Kansas City, MO 64114
Tele: (816) 895-8800
tjohnson@vnjlaw.com
Thomas A. Rottinghaus
Tyler W. Hudson
Jack T. Hyde
Wagstaff & Cartmell LLP
4740 Grand Avenue, Suite 300
Kansas City, MO 64112
(816) 701-1100 (telephone)
thudson@wcllp.com
trottinghaus@wcllp.com
jhyde@wcllp.com
Attorneys for Plaintiffs
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 1 of 31
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TABLE OF CONTENTS
I. INTRODUCTION ..................................................................................................................... 1
II. LEGAL STANDARDS ............................................................................................................. 3
III. ARGUMENT ............................................................................................................................ 4
A. Plaintiffs plausibly allege that they sustained Physical Loss or Damage .............................. 4
1. The policy language at issue is ambiguous ........................................................................ 4
2. Cincinnati’s policy language does not require physical alteration to constitute
physical loss or physical damage to Plaintiffs’ property .................................................... 6
3. Federal courts applying Missouri substantive law have not required physical
alteration of property to find physical loss or damage ..................................................... 11
4. Even temporary contamination or suspected contamination can cause
“physical loss or damage” ................................................................................................ 15
5. The development of an industry standard exclusion language related to
disease-causing bacterial or viral infections shows that Cincinnati knew or
should have known that its policies provided coverage in situations where
physical loss occurred without physical alteration ........................................................... 16
B. Civil Authority coverage is plausibly alleged ..................................................................... 16
C. Ingress and Egress coverage is plausibly alleged ................................................................ 20
D. Dependent Property Coverage is plausibly alleged ............................................................. 22
E. Sue and Labor Coverage is plausibly alleged ...................................................................... 23
IV. CONCLUSION...................................................................................................................... 24
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 2 of 31
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TABLE OF AUTHORITIES
CASES
Advance Cable Co., LLC v. Cincinnati Ins. Co.,
No. 13-CV-229-WMC, 2014 WL 975580 (W.D. Wis. Mar. 12, 2014) ............................ 3, 9, 10
Ashcroft v. Iqbal,
556 U.S. 662 (2009) ................................................................................................................ 3, 4
Assicurazioni Generali S.P.A. v. Black & Veatch Corp.,
362 F.3d 1108 (8th Cir. 2004) ................................................................................................... 24
Bell Atlantic Corp. v. Twombly,
550 U.S. 544 (2007) .................................................................................................................... 4
Braden v. Wal-Mart Stores, Inc.,
588 F.3d 585 (8th Cir. 2009) ....................................................................................................... 4
Capitol Indem. Corp. v. 1405 Assocs., Inc.,
340 F.3d 547 (8th Cir. 2003) ....................................................................................................... 4
Cincinnati Ins. Co. v. German St. Vincent Orphan Ass’n, Inc.,
54 S.W.3d 661 (Mo. App. 2001) ................................................................................. 5, 6, 10, 12
Cooper & Olive Indus. v. Travelers Indem. Co.,
No. C-01-2400, 2002 WL 32775680 (N.D. Cal. Nov. 4, 2002) ................................................ 14
Crestview Country Club, Inc. v. St. Paul Guardian Ins. Co.,
321 F. Supp. 2d 260 (D. Mass. 2004) ....................................................................................... 10
Eckert v. Titan Tire Corp.,
514 F.3d 801 (8th Cir. 2008) ....................................................................................................... 4
Fountain Powerboat Indus., Inc. v. Reliance Ins. Co.,
119 F. Supp. 2d 552 (E.D.N.C. 2000) ....................................................................................... 21
Friends of Danny DeVito v. Wolf,
227 A.3d 872 (Pa. 2020) ........................................................................................................... 15
General Mills, Inc. v. Gold Medal Ins. Co,
622 N.W.2d 147 (Minn. App. 2001) ........................................................................................... 8
Great Plains Ventures, Inc. v. Liberty Mut. Fire Ins. Co.,
161 F. Supp. 3d 970 (D. Kan. 2016) ........................................................................................... 9
Gregory Packaging, Inc. v. Travelers Prop. Cas.,
No. 2:12-cv-04418, 2014 WL 6675934 (D. N.J. Nov. 25, 2014) ............................................. 15
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 3 of 31
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Hampton Foods, Inc. v. Aetna Cas. & Sur. Co.,
787 F.2d 349 (8th Cir. 1986) ............................................................................................. 3, 5, 11
Heshion Motors v. Western Int’l Hotels,
600 S.W.2d 526 (Mo. App. 1980) ............................................................................................. 12
Hughes v. Potomac Ins. Co.,
18 Cal. Rptr. 650 (Cal. Dist. Ct. App. 1962) ............................................................................. 14
Jones v. Mid-Century Ins. Co.,
287 S.W.3d 687 (Mo. banc 2009) ............................................................................................... 5
Manpower Inc. v. Ins. Co. of the State of Penn.,
No. 08C0085, 2009 WL 3738099 (E.D. Wis. Nov. 3, 2009) ................................................ 7, 10
Matzner v. Seaco Ins. Co.,
No. 96-0498-B, 1998 WL 566658 (Mass. Super. Ct. August 12, 1998) ................................. 13
Mehl v. Travelers Home & Marine Ins. Co.,
No. 4:16-cv-01325 CDP, 2018 U.S. Dist. LEXIS 74552 (E. D. Mo. May 2, 2018) ......... 6, 7, 12
Motorist Mut. Ins Co. v. Hardinger,
131 F. Appx. 823 (3d Cir. 2005) ............................................................................................... 12
Murray v. State Farm Fire & Cas. Co.,
509 S.E.2d 1 (W. Va. 1998) ........................................................................................................ 7
Pentair, Inc. v. Am. Guarantee & Liab. Ins. Co,
400 F.3d 613 (8th Cir. 2005) ....................................................................................................... 9
Peters v. Employers Mut. Cas. Co.,
853 S.W.2d 300 (Mo. banc 1993) ............................................................................................... 4
Port Auth. of New York & New Jersey v. Affiliated FM Ins. Co.,
311 F.3d 226 (3d Cir.2002) ............................................................................................... 2, 7, 13
Prudential Prop. & Cas. Co. v. Lillard–Roberts,
CV–01–1362–ST, 2002 WL 31495830 (D. Or. June 18, 2002) ..................................... 7, 13, 14
Secura Ins. v. Horizon Plumbing, Inc.,
670 F.3d 857 (8th Cir. 2012) ..................................................................................................... 11
Sentinel Mgmt. Co. v. New Hampshire Ins. Co.,
563 N.W.2d 296 (Minn. App. 1997) ..................................................................................... 8, 13
Source Food Tech., Inc. v. U.S. Fid. & Guar. Co.,
465 F.3d 834 (8th Cir. 2006) ........................................................................................... 5, 7, 8, 9
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 4 of 31
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Southern Hospitality, Inc. v. Zurich Am. Ins. Co.,
393 F.3d 1137 (10th Cir. 2004) ................................................................................................. 18
TMC Stores, Inc. v. Federated Mut. Ins. Co.,
2005 WL 1331700 (Minn. Ct. App. June 7, 2005) ....................................................... 18, 19, 20
Travco Ins. Co. v. Ward,
715 F. Supp. 2d 699 (E.D. Va. 2010) ........................................................................................ 13
Velder v. Cornerstone Nat’l Ins. Co.,
243 S.W3d 512 (Mo. App. 2008) ................................................................................................ 6
W. Fire Ins. Co. v. First Presbyterian Church,
437 P.2d 52 (Colo. 1968) ...................................................................................................... 7, 12
Zink v. Lombardi,
783 F.3d 1089 (8th Cir. 2015) ..................................................................................................... 3
RULES
Fed. R. Civ. P. 12(b)(6)............................................................................................................... 1, 3
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 5 of 31
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I.
INTRODUCTION
Plaintiffs Studio 417, Inc., Grand Street Dining, LLC and GSD Lenexa, LLC (collectively
“Grand Street”), Trezomare Operating Co., and V’s Restaurant, Inc. are businesses that
successfully operated in Springfield (Studio 417) and Kansas City (the other three) until March
2020. Around that time, these four businesses suffered direct physical loss of the use of their
property as a result of the global Coronavirus pandemic (COVID-19) and government closure
orders that made their property uninhabitable and/or unusable for its intended business operation.
Fortunately, each business purchased “all risks” commercial insurance coverage and paid
premiums to Defendant, The Cincinnati Insurance Company (“Cincinnati”), to be protected from
this type of direct physical loss that resulted in lost income and other damage.1 Each business
submitted a valid insurance claim to Cincinnati for covered losses. Cincinnati rejected each of the
claims in a form rejection letter. This class action lawsuit followed.
Cincinnati’s Motion to Dismiss argues that Plaintiffs’ Amended Complaint (“Complaint)
fails to state any viable claim and should be dismissed under Rule 12(b)(6). See Doc. 21
(“Motion”). Cincinnati asserts that the insurance policies here are property insurance policies that
unambiguously state that they provide coverage only for physical damage to property caused by
events like a fire or storm. Motion at 1-2.
Cincinnati’s argument is baseless. It ignores the plain language of the policies, disregards
adverse case law, including Eighth Circuit precedent applying Missouri law, and discounts the
expectations of businesses who paid premiums to Cincinnati for “all risks” commercial insurance
coverage. The crux of Cincinnati’s argument, which is primarily supported by cases decided at the
1 Like other insurers, Cincinnati offers insurance policies that contain “virus exclusion” language
that, according to Cincinnati, expressly excludes coverage for losses caused by a virus. Plaintiffs’
policies, however, do not contain this virus exclusion.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 6 of 31
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summary-judgment stage, is that the policies cover only income losses tied to physical damage to
property. Cincinnati focuses on certain language in the policies that the insured suffer “physical
loss” and then contends that this phrase means that an insured must show that the property
sustained an “actual, tangible, permanent, physical alteration” to establish any insurance coverage
under the policies. Motion at 13, 16. If Cincinnati wanted to sell an insurance policy to businesses
with such narrow coverage, then it should have drafted the policy to clearly state that. It did not.
The key phrases in the policy are “physical loss” and “physical damage.”2 The policies
cover both types of losses. Cincinnati drafted these policies and should be able to point the Court
to a section in the policies that defines these terms. But there is no such section because Cincinnati
did not define the terms. Cincinnati’s Motion carefully avoids using these two different phrases at
the same time because doing so would make it obvious that Cincinnati’s self-serving, newly
created definition of “physical loss” is synonymous with the definition of “physical damage,” and
that interpretation cannot be correct because Cincinnati drafted the policy and chose to use
different phrases that must therefore have different meanings. In short, the policy’s coverage is not
as narrow as Cincinnati would have this Court believe. Numerous courts have held that loss of use
of property constitutes “physical loss.” See, e.g., Port Auth. of New York & New Jersey v. Affiliated
FM Ins. Co., 311 F.3d 226, 236 (3d Cir.2002) (“When the presence of large quantities of asbestos
in the air of a building is such as to make the structure uninhabitable and unusable, then there has
been a distinct [physical] loss to its owner.”). Indeed, another case analyzing very similar language
in a Cincinnati insurance policy noted “that where [an] insurance policy explicitly covered
physical loss and physical damage, ‘direct physical loss’ must mean something other than ‘direct
physical damage,’ since otherwise [the] policy language would be rendered superfluous.” Advance
2 See Motion at 9 (noting the policies define “loss” “as physical loss or damage”).
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 7 of 31
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Cable Co., LLC v. Cincinnati Ins. Co., No. 13-CV-229-WMC, 2014 WL 975580, at *10 (W.D.
Wis. Mar. 12, 2014), aff'd, 788 F.3d 743 (7th Cir. 2015) (emphasis in original, quotation omitted).
To present even a colorable argument for dismissal as a matter of law at this stage,
Cincinnati must show that under Missouri law the disputed language in the insurance policies —
“physical loss” — is unambiguous and synonymous with physical damage.3 It cannot do so. In
fact, the Eighth Circuit, interpreting Missouri law, rejected an insurance company’s argument for
summary judgment in an insurance coverage dispute involving a commercial liability policy that
did not define “physical loss,” finding the phrase was ambiguous. Hampton Foods, Inc. v. Aetna
Cas. & Sur. Co., 787 F.2d 349, 351-52 (8th Cir. 1986). This Court should reach the same
conclusion here.
Cincinnati’s other arguments for dismissal rest on first establishing as a matter of law that
Plaintiffs have suffered no physical loss or physical damage. Because Cincinnati has failed to show
that “physical loss” is a defined term or unambiguously has the narrow meaning that Cincinnati
contends, and because there are numerous fact questions that exist in determining whether physical
loss or physical damage has occurred, none of Cincinnati’s other arguments for dismissal are valid
for the reasons explained below. This Court should deny Cincinnati’s motion to dismiss entirely.
II.
LEGAL STANDARDS
“To survive a motion to dismiss, a complaint must contain sufficient factual matter,
accepted as true, to state a claim to relief that is plausible on its face.” Zink v. Lombardi, 783 F.3d
1089, 1098 (8th Cir. 2015) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). A claim has
facial plausibility when its allegations rise above the “speculative” or “conceivable,” Bell Atlantic
3 Of course, even if Cincinnati were able to show the policy language is unambiguous, this Court
would still be left to consider the factual question of whether there was physical loss or physical
damage to property, which is a fact issue not appropriate for a Rule 12(b)(6) motion.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 8 of 31
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Corp. v. Twombly, 550 U.S. 544, 555, 570 (2007), and where “the plaintiff pleads factual content
that allows the court to draw the reasonable inference that the defendant is liable for the misconduct
alleged.” Iqbal, 556 U.S. at 678. Such a complaint will be liberally construed in the light most
favorable to the plaintiff. Eckert v. Titan Tire Corp., 514 F.3d 801, 806 (8th Cir. 2008). “Finally,
the complaint should be read as a whole, not parsed piece by piece to determine whether each
allegation, in isolation, is plausible” Braden v. Wal-Mart Stores, Inc., 588 F.3d 585, 594 (8th Cir.
2009).
III.
ARGUMENT
A. Plaintiffs plausibly allege that they sustained Physical Loss or Damage
Cincinnati acknowledges that its policies4 supply coverage that Plaintiffs seek to enforce.
Motion at 8. But, relying primarily on three cases involving summary judgment motions, Motion
at 13–17, Cincinnati argues that Plaintiffs have not plausibly alleged that they sustained “direct
physical loss” to their property. Id. at 13. This argument fails for several reasons.5
1. The policy language at issue is ambiguous
While interpreting the meaning of an insurance policy is a question of law, Capitol Indem.
Corp. v. 1405 Assocs., Inc., 340 F.3d 547 (8th Cir. 2003), when a policy’s language is ambiguous
it will be construed against the insurer, Peters v. Employers Mut. Cas. Co., 853 S.W.2d 300, 301-
302 (Mo. banc 1993). “Language is ambiguous if it is reasonably open to different constructions.”
4 Although there are four separate policies issued to the Plaintiffs, Cincinnati correctly notes that
each policy contains identical pertinent language. Motion at 8, n.11. Like Cincinnati, Plaintiffs
refer to the policies collectively as “policy” or “policies” in these Suggestions and cite to the copy
of the Studio 417 policy attached to the initial Complaint (Doc. 1-1).
5 Even assuming Plaintiffs’ property suffered no direct physical loss, Cincinnati’s Motion still fails
because factual disputes remain as to whether any other property has suffered a direct physical loss
that would trigger the Civil Authority coverage provided by the policies. See Section IV.B.
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Cincinnati Ins. Co. v. German St. Vincent Orphan Ass’n, Inc., 54 S.W.3d 661, 668 (Mo. App.
2001) (reversing order granting summary judgment to Cincinnati because its policy was
ambiguous and holding that coverage existed under Cincinnati’s policy). An ambiguity exists in
an insurance policy when there is duplicity, indistinctness, or uncertainty in the meaning of the
words used in the policy. Peters, 853 S.W.2d at 302. Courts also emphasize that insurance policies
should be given a reasonable construction and interpretation so as to afford coverage rather than
to defeat coverage. See Cincinnati Ins. Co., 54 S.W.3d at 667. If a policy’s language is deemed to
be unambiguous, the Court uses the meaning that would be attached by an ordinary person. Jones
v. Mid-Century Ins. Co., 287 S.W.3d 687, 690 (Mo. banc 2009).
Here, Cincinnati could have, but did not, define the phrases “direct physical loss,”
“physical loss,” and “direct physical damage” anywhere in its policies. The Eighth Circuit,
applying Missouri law, previously held that the phrase “direct physical loss” in an insurance policy
is ambiguous and, accordingly, must be construed against the insurer. Hampton Foods, Inc. v.
Aetna Cas. & Sur. Co., 787 F.2d 349, 351-52 (8th Cir. 1986). Cincinnati fails even to mention this
relevant and controlling Eighth Circuit authority. In Hampton, the Eighth Circuit further found
that the “commonsense meaning of the policy provision is that any loss or damage due to the
danger of direct physical loss is covered.” Id. at 352 (internal quotations omitted) (emphasis in
original). Having failed to cite let alone attempt to distinguish Hampton, Cincinnati relies on an
Eighth Circuit case applying Minnesota law (and involving a summary judgment motion). Motion
at 13 (citing Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834 (8th Cir. 2006)).
Cincinnati’s arguments stem from a premise that “physical loss” and “physical damage”
require alteration of the insured property, but as argued below that interpretation is unreasonable
and contradicted by case law. Plaintiffs’ interpretation is reasonable, but even giving Cincinnati
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 10 of 31
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the benefit of the doubt that its interpretation is also reasonable, then it remains true that Plaintiffs
and Cincinnati have alternative interpretations of the policy language. Where an insurance policy
can be construed in two reasonable ways, it will be interpreted against the party that drafted it.
See Velder v. Cornerstone Nat’l Ins. Co., 243 S.W3d 512, 517 (Mo. App. 2008). Therefore, even
if Cincinnati’s interpretation of the policy language is reasonable, if Plaintiffs’ interpretation of
the policies is also reasonable (which it is), then the policy is ambiguous. Id. And under Missouri
law, that policy language must be resolved in favor of Plaintiffs. Id.
2. Cincinnati’s policy language does not require physical alteration to
constitute physical loss or physical damage to Plaintiffs’ property
Although Cincinnati argues that its policies require physical alteration for there to be
“direct physical loss” to Plaintiffs’ property, Motion at 13, Cincinnati is unable to point to any
language in its policies articulating the necessity of “alteration” of property. While “loss” is
defined in the policies as “physical loss” or “physical damage,” those terms are not defined
anywhere in the policies. Despite Cincinnati’s emphasis of a purported requirement of “alteration”
for there to be a “physical loss,” the policy’s use of the disjunctive “or” between the terms
“physical loss” and “physical damage” necessarily means that either a “loss” or “damage” is
required, and that “loss” is distinct from “damage.” See Doc. 1-1 at 57. Cincinnati chose not to
include any additional modifiers to these terms, just as it chose not to define these terms with
specificity. The policies at issue are thus ambiguous as to what constitutes “physical loss” or
“physical damage.” See Mehl v. Travelers Home & Marine Ins. Co., No. 4:16-cv-01325 CDP,
2018 U.S. Dist. LEXIS 74552, at *2 (E. D. Mo. May 2, 2018) (citing Cincinnati Ins. Co. v . German
St. Vincent Orphan Ass’n, Inc., 54 S.W.3d 661, 668 (Mo. App. 2001)).6 In Mehl, the court
determined a policy that did not define the phrase “direct physical loss” was ambiguous, should
6 As the Mehl opinion does not appear on Westlaw, Plaintiffs attach a copy hereto as Exhibit 1.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 11 of 31
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not be interpreted as requiring “actual physical damage,” and denied the insurer’s motion for
summary judgment. Ex. 1.
Similar to Mehl, numerous other courts have held that loss of use of property constitutes
“physical loss.” See, e.g., Port Auth. of New York & New Jersey v. Affiliated FM Ins. Co., 311 F.3d
226, 236 (3d Cir.2002) (“When the presence of large quantities of asbestos in the air of a building
is such as to make the structure uninhabitable and unusable, then there has been a distinct
[physical] loss to its owner.”); Manpower Inc. v. Ins. Co. of the State of Penn., No. 08C0085, 2009
WL 3738099, at *5 (E.D. Wis. Nov. 3, 2009) (insured suffered a “direct physical loss” covered by
all-risk insurance policy when it was forced to evacuate insured premises for safety reasons, even
though the premises themselves were not physically damaged); Prudential Prop. & Cas. Co. v.
Lillard–Roberts, CV–01–1362–ST, 2002 WL 31495830, at *9 (D. Or. June 18, 2002) (holding
there may be a “direct physical loss” when property is “rendered uninhabitable by mold”); Murray
v. State Farm Fire & Cas. Co., 509 S.E.2d 1, 16–17 (W. Va. 1998) (policyholders suffered “direct
physical loss” when their homes were rendered uninhabitable due to threat of rockfall); W. Fire
Ins. Co. v. First Presbyterian Church, 437 P.2d 52, 55 (Colo. 1968) (policyholder suffered “direct
physical loss” when “the accumulation of gasoline around and under the [building caused] the
premises to become so infiltrated and saturated as to be uninhabitable, making further use of the
building highly dangerous”).
Cincinnati skips past Mehl and the other above-cited cases, relying instead on
distinguishable, non-binding authority to argue that “direct physical loss requires actual, tangible,
permanent, physical alteration of property.” Mot. at 13, 16. Cincinnati first points to Source Food
Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834 (8th Cir. 2006), which arose out of a disruption
in the supply of an ingredient due to a governmental embargo on Canadian beef. The plaintiff lost
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access to its normal supply of beef product when its supplier’s truck could not cross the border
into the United States. Although the plaintiff was able to find a new supplier of product, the
plaintiff argued the disruption of its usual supply was a “direct physical loss” to its property and
sued its insurer. Id. at 837. The trial court granted summary judgment for the insurer, and the
Eighth Circuit affirmed, finding that “direct physical loss” did not extend to the insured’s
uncontaminated product stuck at the border.
Source Food is distinguishable factually and legally. For starters, the case was decided on
a summary judgment record applying Minnesota — not Missouri — law. Further, and contrary to
the Cincinnati Policy here, the policy language at issue was limited to “just ‘direct physical loss’”
and did not cover “all loss or damage.” Id. at 837 (emphasis added). Indeed, the Source Food
Court highlighted this difference to distinguish the case from an earlier case decided by the
Minnesota Court of Appeals that found “direct physical loss” can exist without actual destruction
or any structural damage to property. Id. at 837.7 See also Sentinel Mgmt. Co. v. New Hampshire
Ins. Co., 563 N.W.2d 296, 300 (Minn. App. 1997) (“Direct physical loss may exist in the absence
of structural damage to the insured property…”). Source Food — which shares essentially no
7 In General Mills, Inc. v. Gold Medal Ins. Co, 622 N.W.2d 147 (Minn. App. 2001), the Minnesota
Court of Appeals found that there was direct physical loss where cereal was not able to be sold
because of legal regulations. The court found that “direct physical loss can exist without actual
destruction of property or structural damage to property,” as direct physical loss is present if the
function of the property is seriously impaired or destroyed. Id at 152. The court found that “the
function of the food products [at issue] was not only to be sold, but to be sold with an assurance
that they meet certain regulatory standards.” Id. When the food distributor “is unable to lawfully
distribute its products because of FDA regulations, that function is seriously impaired.” Id. The
court thus held that because the product at issue could not be legally used in the food distributor's
business, there was an impairment of function and value constituting direct physical loss and
damage. The court did not rely on whether the food product had been contaminated; rather, the
issue was that imposition of government regulations rendered the product unsellable. Whether the
oats could be safely consumed was not the issue; they could not be used in the plaintiff’s business.
Id. And on this basis the court found a loss of function that constituted direct physical loss. Id.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 13 of 31
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similarities with the case before this Court — cannot credibly be interpreted to hold that “direct
physical loss requires actual, tangible, permanent, physical alteration of property,” as Cincinnati
claims. Mot. at 13, 16.
Cincinnati also relies on Pentair, Inc. v. Am. Guarantee & Liab. Ins. Co, 400 F.3d 613 (8th
Cir. 2005), which is another summary judgment-stage case decided under Minnesota law. The
principal issue in Pentair was the scope of direct physical loss or damage within the meaning of
the insurance policy, where an earthquake in Taiwan shut down an electrical substation that
supplied power to Taiwanese factories that, in turn, supplied product to Pentair (the insured).
(Cincinnati makes no such scope argument here.) The trial court concluded that earthquake
damage to a non-insured electrical substation was too far removed to be covered under the “direct
physical loss or damage” provision of the insurance policy. Affirming, the Eighth Circuit stated
“[i]t is one thing to insure all risk of power outage losses at known, identified Pentair facilities
caused by covered damage to off-premises power suppliers,” but “[e]xtending that coverage to
Pentair losses resulting from power outages at unknown third-party supplier premises, which may
be located all over the world, insures a different and presumably more substantial risk.” Id. at 617-
18. The Eighth Circuit thus concluded that the contingent business interruption loss in question
was not sufficiently “direct” to be covered by the policy at issue.
Like Source Food and Pentair, Great Plains Ventures, Inc. v. Liberty Mut. Fire Ins. Co.,
161 F. Supp. 3d 970 (D. Kan. 2016), also does not stand for the proposition that “physical loss”
requires “actual, tangible, permanent, physical alteration of property.” In Great Plains Ventures
(yet another summary-judgment stage case), the plaintiff relied on Advance Cable Co., LLC v.
Cincinnati Ins. Co., No. 13-CV-229-WMC, 2014 WL 975580 (W.D. Wis. Mar. 12, 2014), to argue
that minor blemishes and cosmetic dents on its roof caused by hail were covered losses. The court
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 14 of 31
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noted that, unlike the Cincinnati policy at issue in Advance Cable, the instant policy did “not define
‘loss’ as ‘loss or damage,’ and the word ‘damage’ is not included at all in the ‘Coverages’ section.”
161 F. Supp. 3d at 978. Nonetheless, the court found Advance Cable persuasive and found that
coverage existed. Cincinnati claims that Great Plains Ventures “holds that the phrase ‘physical
loss or damage’ ‘unambiguously’ requires physical alteration of property,” Motion at 15, but that
distorts the opinion and its consideration of Advance Cable, which involved a Cincinnati policy
similar to that here that defined loss to include both “physical loss or damage.” Here is the Great
Plains Ventures court’s full reasoning:
The distinction that Defendant draws between the language of this Policy
and that in Advance Cable does not require the Court to ignore the
interpretation of the phrase “loss or damage” in that case. Looking beyond
Advance Cable, the phrase “physical damage” in an insurance policy is
widely accepted to mean a “physical alteration.” Thus, the Co (urt finds that
the phrase “physical loss or damage” provides coverage where, as here,
cosmetic hail dents physically alter an insured’s property.
161 F. Supp. 3d at 978. If Plaintiffs’ policies only provided coverage in the event of “physical
damage,” Cincinnati’s argument might have force, but the policies here define loss to include
“physical loss” or “physical damage.” And as the court reasoned in Advance Cable (involving a
Cincinnati policy), “where [an] insurance policy explicitly covered physical loss and physical
damage, “‘direct physical loss’ must mean something other than ‘direct physical damage,’ since
otherwise [the] policy language would be rendered superfluous.” 2014 WL 975580, at *10
(emphasis in original) (quoting Manpower Inc., 2009 WL 3738099, at *5).
In short, although Cincinnati boldly states that “American case law is overwhelmingly
consistent” with its position that coverage for direct physical loss should be precluded in the
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 15 of 31
11
absence of “actual, tangible, permanent, physical alteration” of the insured’s property,8 the
majority of courts to analyze this issue have held the opposite. And Cincinnati ignores that the
cited cases involved determinations about policy language made at the summary judgment stage.
3. Federal courts applying Missouri substantive law have not required
physical alteration of property to find physical loss or damage
State law governs the interpretation of the insurance policies. Secura Ins. v. Horizon
Plumbing, Inc., 670 F.3d 857, 861 (8th Cir. 2012). Plaintiffs are not aware of any court in Missouri
requiring physical alteration of property for an insured to sustain physical loss to property. To the
contrary, courts applying Missouri law have concluded that actual physical damage is not required
for an insured to recover for “physical loss” to its property. In Hampton Foods, Inc., v. Aetna Cas.
& Sur. Co., the Eighth Circuit examined language in a personal property policy insuring a grocery
store (Hampton Foods) against “‘loss of or damage to the property insured . . . resulting from all
risks of direct physical loss’ and covering loss of certain earnings and expenses under what is
generally known as business interruption coverage.” 787 F.2d 349, 351(8th Cir. 1986) (applying
Missouri law). The insured’s building in that case evidenced signs that it was in danger of collapse,
and the building owner forced Hampton Foods to evacuate. Id. Hampton Foods had significant
losses from the salvage sale of its inventory and the complete loss of business equipment. Id. Aetna
denied coverage, arguing that the policy language required a “direct physical loss,” while Hampton
8 Defendant’s citation to Crestview Country Club, Inc. v. St. Paul Guardian Ins. Co., 321 F. Supp.
2d 260, 264 (D. Mass. 2004) for this proposition is similarly misplaced. Motion at 17. In ruling on
motions for summary judgment, the Crestview court concluded an insurance policy that insured a
golf course for up to $500 for tree, plant, or shrub removal did not cover the cost of the re-design
of the thirteenth hole of the golf course after a storm necessitated removal of the tree.
Acknowledging that another Massachusetts case, Matzner v. Seaco Ins. Co., 1998 WL 566658
(Mass. Super. Aug. 12. 1998), found that “direct physical loss or damage” could exist even without
physical damage to a structure, the court in Crestview concluded that pursuant to the Defendant’s
policy sublimit for “tree, plant, or shrub” damage and removal, the Plaintiff’s claim was satisfied
after the insurer paid the cost of damage to the tree. 321 F. Supp. 2d at 265.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 16 of 31
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Foods argued that the policy only required “damage or loss resulting from the risk of direct
physical loss.” Id. The trial court granted summary judgment to Hampton Foods, finding that “the
commonsense meaning of [the policy provision] is that any loss or damage due to the danger of
direct physical loss is covered. Hampton’s inventory suffered a loss because of a danger of direct
physical loss.” Id. at 352. The Eighth Circuit affirmed, upholding the trial court’s finding that the
language of the policy was ambiguous and must be construed in favor of the insured. Id. (citing
Heshion Motors v. Western Int’l Hotels, 600 S.W.2d 526, 537 (Mo. App. 1980).
In Mehl v. The Travelers Home & Marine Ins. Co., the court found that where the phrase
“direct physical loss” was not defined in a Missouri property insurance policy, “to construe the
term ‘direct physical loss’ as requiring damage not defined in the policy leads to ambiguity in the
policy.” See Ex. 1 at 2 (citing Cincinnati Ins. Co. v. German St. Vincent Orphan Ass’n, Inc., 54
S.W.3d 661, 668 (Mo. App. 2001). The plaintiff in Mehl learned that his home was infested with
brown recluse spiders after moving into the house. He argued the property was uninhabitable as a
result of the spider infestation and filed a claim with his homeowners policy for loss of use of the
property. Defendant denied the claim, arguing there was no “direct physical loss” to the property
because the parties agreed that “the residence suffered no ‘physical damage’ on account of the
spiders . . ..” Id. The court declined to adopt the insurer’s suggested meaning and instead adopted
“construction of the policy that is most favorable to the insured.” Id. (citation omitted).
The court’s analysis in Mehl is consistent with that of several other courts examining the
meaning of “physical loss” or “physical damage” in an insurance policy. See, e.g., W. Fire Ins.
Co. v. First Presbyterian Church, 437 P.2d 52 (Colo. 1968) (holding the loss of use of church,
rendered uninhabitable by gasoline vapors, constituted a direct physical loss). These courts have
held that a physical loss or damage to an insured’s premises may occur without physical alteration.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 17 of 31
13
It is enough that there has been a loss of use of the premises. See, e.g., Motorist Mut. Ins Co. v.
Hardinger, 131 F. Appx. 823, 826 (3d Cir. 2005) (“direct physical loss or damage” requirement
satisfied by e-coli, which had “reduced the use of the property to a substantial degree”)
(emphasis added); Port Authority of New York & New Jersey v. Affiliated FM Ins. Co., 311
F.3d 226, 236 (3rd Cir. 2002).
Indeed, courts have observed that the majority of cases nationwide find that physical
damage to property is not necessary where the property has been rendered unusable by a covered
cause of loss. See, e.g., Travco Ins. Co. v. Ward, 715 F. Supp. 2d 699, 708 (E.D. Va. 2010); Murray
v. State Farm & Cas. Co., 509 S.E.2d 1, 17 (W. Va. 1998) (“‘Direct physical loss’ also may exist
in the absence of structural damage to the insured property,” as “[l]osses . . . rendering the insured
property unusable or uninhabitable, may exist in the absence of structural damage to the insured
property”) (emphasis added); Sentinel Mgmt. Co. v. New Hampshire Ins. Co., 563 N.W.2d 296,
300 (Minn. App. 1997) (“Direct physical loss may exist in the absence of structural damage to the
insured property. . .. Although asbestos contamination does not result in tangible injury to the
physical structure of a building, a building’s function may be seriously impaired or destroyed and
the property rendered useless by the presence of contaminants”) (emphasis added); Matzner v.
Seaco Ins. Co., No. 96-0498-B, 1998 WL 566658, at *3 (Mass. Super. Ct. August 12, 1998)
(“[T]he phrase ‘direct physical loss or damage’ is ambiguous in that it is susceptible of at least two
different interpretations. One includes only tangible damage to the structure of insured property.
The second includes a wider array of losses.”) (emphasis in original); Prudential Prop. & Cas. Ins.
Co. v. Lillard-Roberts, No. CV-01-1362-ST, 2002 WL 31495830, at *28 (D. Or. June 18, 2002).
This conclusion makes sense because:
To accept [the insurance company’s] interpretation of its policy
would be to conclude that a building which has been overturned or
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 18 of 31
14
which has been placed in such position as to overhang a steep cliff
has not been “damaged” so long as its paint remains intact and its
walls adhere to one another. Despite the fact that a “dwelling
building” might be rendered completely useless to its owners, [the
insurer] would deny that any loss or damage had occurred unless
some tangible injury to the physical structure itself could be
detected. Common sense requires that a policy should not be so
interpreted in the absence of a provision specifically limiting
coverage in this manner.
Hughes v. Potomac Ins. Co., 18 Cal. Rptr. 650, 655 (Cal. Dist. Ct. App. 1962) (emphasis added),
disapproved on other grounds, Sabella v. Wisler, 27 Cal. Rptr. 689 (Cal. 1963).
For example, a dine-in restaurant’s intended purposes include providing a safe environment
for its occupants to eat and drink, and the use and enjoyment of that property by its customers
without being placed in a dangerous situation. Similarly, a hair salon’s intended purpose includes
providing a safe environment for its patrons to obtain hair styling and other services. The inability
to use the property or a portion of the property for its intended use therefore constitutes a direct
physical loss.
COVID-19 is inherently noxious, and its presence, presumed presence, or imminently
threatened presence rendered Plaintiffs’ properties unusable or unsafe for their intended purpose.
See, e.g., Lillard-Roberts, 2002 WL 31495830, at *29 (“Although the mere adherence of molecules
to porous surfaces, without more, is not physical loss or damage, this case involves more, namely
the inability … to enjoy the personal property because of the mold spores adhering to it.”); Cooper
& Olive Indus. v. Travelers Indem. Co., No. C-01-2400, 2002 WL 32775680, at *5 (N.D. Cal.
Nov. 4, 2002) (policyholder could claim business income and losses from contamination of well
with E. coli bacteria). Plaintiffs’ allegations plainly state plausible claims for relief, and
Cincinnati’s Motion should be denied.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 19 of 31
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4. Even temporary contamination or suspected contamination can cause
“physical loss or damage”
Cincinnati next appears to suggest that because Coronavirus might be removed by cleaning
with appropriate products, and therefore “removed” in theory, there can be no “physical loss.”
Motion at 19. Even where a loss is temporary, however, or the reduction in a property’s utility is
only partial, physical loss or damage can still exist if the property is unsuitable for its intended use.
For example, in Gregory Packaging, Inc. v. Travelers Prop. Cas., No. 2:12-cv-04418, 2014 WL
6675934 (D. N.J. Nov. 25, 2014), the insurance company argued that a manufacturing plant that
was evacuated after the release of ammonia suffered no physical loss or damage because the
ammonia was remediated within a week. Id. at *2. The court rejected this argument, ruling “the
property can sustain physical loss or damage without experiencing structural alteration,” and there
was physical loss or damage to the plant from ammonia because “the heightened ammonia levels
rendered the facility unfit for occupancy until the ammonia could be dissipated.” Id. at *5–6.
Suspected contamination of property by the novel coronavirus is enough to damage insured
property. As has recently been noted, the enforcement of social distancing to suppress transmission
of the disease is currently the only proven mitigation tool, with the virus spreading because of
person-to-person contact, via contact with surfaces, and remaining in the air within confined areas.
See, e.g., Friends of Danny DeVito v. Wolf, 227 A.3d 872, 891 (Pa. 2020). There is no commercial
method to test for the presence of COVID-19 on property. Many individuals—particularly the
young—who are infected with COVID-19 are asymptomatic. Yet they are still able to transmit the
virus. It is therefore statistically likely that the virus was, and continues to be, present in properties
frequented by large numbers of people. Physical loss or damage should therefore be presumed,
particularly at the stage of a motion to dismiss.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 20 of 31
16
5. The development of an industry standard exclusion language related to
disease-causing bacterial or viral infections shows that Cincinnati knew or
should have known that its policies provided coverage in situations where
physical loss occurred without physical alteration
Insurers like Cincinnati are well aware that viruses can cause physical loss or damage, as
evidenced by the creation of a virus exclusion endorsement following the SARS pandemic in the
early 2000s by the Insurance Services Office (“ISO”), an organization that develops standard
forms for the insurance industry, collects statistical data, and estimates risks relevant to the form.
See Compl. ¶¶ 13, 26–28, 35–37. While putting such an exclusion in a policy does not necessarily
preclude coverage, the failure to include such an exclusion here undermines Cincinnati’s attempt
to re-write its existing policies, post-loss, to deny claims involving viruses. Plaintiffs’ allegations
about the insurance industry’s response to prior pandemics, including the development of a
proposed standard “amendatory endorsement” to exclude loss due to virus or bacteria, id. ¶¶ 35–
37, further support Plaintiffs’ interpretation and claim that viruses are covered causes of loss that
can cause “physical loss” or “physical damage” under Cincinnati’s policies.
B. Civil Authority coverage is plausibly alleged
Cincinnati raises two challenges to Plaintiffs’ claims based on Civil Authority coverage,
Motion at 20–23, but as with its other arguments, Cincinnati relies on summary-judgment-stage
cases, and the Court should deny the Motion as it relates to Civil Authority coverage.
First, Cincinnati notes that Civil Authority coverage applies in situations where “a Covered
Cause of Loss” occurs to “property other than the Plaintiffs’ property.” Motion at 20–21.9
Cincinnati then essentially repeats its earlier argument, contending that “[j]ust as the Coronavirus
is not causing direct physical loss to Plaintiffs’ premises, it is not causing direct physical loss to
9 Each of the four cases that Cincinnati cites in the first paragraph of Page 21 in its Motion involved
a motion for summary judgment.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 21 of 31
17
other property.” Motion at 21. Accordingly, the Court should reject Cincinnati’s first challenge for
the same reasons set forth above.
Second, Cincinnati argues that stating a claim for Civil Authority coverage “requires that
access to Plaintiffs’ premises be prohibited by an order of Civil Authority.” Motion at 22.10
Cincinnati then mischaracterizes Plaintiffs’ allegations and the referenced Civil Authority orders
to contend that Plaintiffs’ “allegations establish access [to their businesses] was not prohibited”
(emphasis added), thereby purportedly rendering Civil Authority coverage inapplicable. Motion at
22–23. This is wrong in several respects.
To start, Cincinnati claims “Plaintiffs concede that the Closure Orders did not prohibit
access to salon premises,” such as the business locations of Plaintiff Studio 417. Motion at 22
(citing Compl. ¶ 67). That grossly mischaracterizes the cited paragraph from Plaintiffs’ Complaint:
Plaintiffs clearly allege that the Closure Orders required hair salons — which were not categorized
as an “essential business”— “to cease all in-person operations,” while also ordering all individuals
to stay at home unless performing essential activities. In tandem, these directives plainly prohibited
access to salon premises.
10 Notably, Cincinnati again relies on cases involving summary judgment motions, as every case
cited on Pages 22 and 23 of its Motion involved a motion for summary judgment.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 22 of 31
18
As to the restaurant Plaintiffs, Cincinnati ignores Plaintiffs’ allegations that the Closure
Orders dictated, among other things, “that all inside seating is prohibited at restaurants,” that “all
restaurants [were required] to suspend operations except for providing delivery or carry out only,”
and that “every person in the State of Missouri shall avoid eating or drinking at restaurants,” with
limited exceptions for “the use of drive-thru, pickup, or delivery options.” Compl. ¶¶ 71–80.
Despite these broad directives prohibiting customers from access to the interiors of restaurant
premises, Cincinnati contends that because “the Closure Orders allowed restaurant premises to
remain open for food preparation, take-out, and delivery,” then all “access to restaurant premises
was not prohibited.” Motion at 22, 23.
Cincinnati’s attempt to re-write the policy language also shows that the phrase “prohibits
access” is ambiguous, as Cincinnati treats the policies as providing coverage only when all or
complete access to the premises is prohibited by Civil Authority. The specific language, however,
provides coverage for “actual loss of ‘Business Income’ . . . caused by action of civil authority that
prohibits access to the ‘premises,’” which the Policies define to include buildings. See Doc 1-1 at
38. The policies could have, but did not, use language such as “prohibits all access” or “prohibits
any access” to the premises. Here, the Closure Orders clearly prohibited access to Plaintiffs’
premises for all customers because they were prohibited from entering Plaintiffs’ premises.
The case law, including cases that Cincinnati cites, support denying the Motion due to a
purported lack of a prohibition on access. For example, Cincinnati cites Southern Hospitality, Inc.
v. Zurich Am. Ins. Co., 393 F.3d 1137 (10th Cir. 2004), and TMC Stores, Inc. v. Federated Mut.
Ins. Co., 2005 WL 1331700 (Minn. Ct. App. June 7, 2005), Motion at 22–23, but the reasoning in
those cases supports Plaintiffs. The plaintiff in Southern Hospitality operated hotels, and the Civil
Authority action at issue was an FAA order that “stopped airplanes from flying; it did not close
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 23 of 31
19
hotels.” 393 F.3d at 1141. The Tenth Circuit contrasted those facts to cases that “found that access
was prohibited where the order of a civil authority required the insured’s premises to close,
thereby invoking coverage for business losses.” Id. (citing cases and emphasis added). The Tenth
Circuit also concluded that Civil Authority coverage did not exist in that case “because the FAA’s
order grounding flights did not itself prevent, bar, or hinder access to [plaintiff’s] hotels in a
manner contemplated by the policies.” Id. Here, however, Plaintiffs allege the Closure Orders did
require hair salons to close, which Southern Hospitality recognized as sufficient to “invoke[e]
coverage for business losses” under Civil Authority coverage. And Plaintiffs’ allegations also
show that the Closure Orders did “prevent, bar, or hinder access to” Plaintiffs’ restaurants by
customers, who were prohibited from accessing restaurant premises for indoor dining, which is
the essence of Plaintiffs’ business operations.
The reasoning in TMC Stores similarly supports Plaintiff. That case involved disruption to
the business of a garden and pet retail store caused by nearby construction that reduced previously
available parking for the business, which remained open throughout the construction. 2005 WL
1331700, at *1. The court noted the plaintiff’s argument that “the phrase ‘prohibits access’ was
not defined in the policy” and that this ambiguity “requires a factual determination of whether its
customers’ access to the store was prohibited by th[e] construction.” 2005 WL 1331700, at *4
(emphasis added). But on that particular factual record, where it was “undisputed that [plaintiff’s]
store remained open throughout the construction and that customers were able to enter the store
even though ease of access was diminished,” the court granted summary judgment in favor of the
insurer. Id. The court also noted, however, that if “the record demonstrated a virtual economic
shutdown of [plaintiff’s] business, this would be a more difficult case.” Id. Here, the Closure
Orders required a total economic shutdown of hair salons, and Plaintiffs’ allegations about the
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 24 of 31
20
sharply reduced scope of allowed restaurant activities suffice to state viable claims that the Closure
Orders amounted to imposing “a virtual economic shutdown” on them to invoke Civil Authority
coverage.
Cincinnati’s other cases (which again are all summary judgment cases) also miss the mark,
as their facts merely involved situations where the Civil Authority action at issue rendered it more
difficult for customers to access a business. See Motion at 22–23. But that is not the situation here.
And Cincinnati’s final argument — that certain Closure Orders contained narrowly drawn
exceptions to the stay-at-home directives, permitting limited access by owners or employees to
non-essential business premises (like Studio 417’s hair salon) for purposes such as “facilitat[ing]
employees’ ability to work remotely,” Motion at 23 — ignores that the proper inquiry for this
business interruption coverage involves “a factual determination of whether [Plaintiffs’]
customers’ access” to the premises was prohibited, circumstances which Plaintiffs’ allegations
show did occur here. TMC Stores, 2005 WL 1331700, at *4 (emphasis added).
C. Ingress and Egress coverage is plausibly alleged
Cincinnati’s policies provide for Ingress and Egress Coverage as follows:
We will pay for the actual loss of “Business Income” you sustain and
necessary Extra Expense you sustain caused by the prevention of existing
ingress or egress at a “premises” shown in the Declarations due to direct
“loss” by a Covered Cause of Loss at a location contiguous to such
“premises.” However, coverage does not apply if ingress or egress from the
“premises” is prohibited by civil authority.
See, e.g., Doc. 1-1 at 95. Cincinnati argues such coverage cannot apply because there is no direct
physical loss. Motion at 24. However, as detailed above, this argument fails and is not supported
by the cases, nor is it an appropriate determination to make on a motion to dismiss. The policy
language at issue is ambiguous, as the phrase can reasonably be interpreted in multiple ways, with
no definition of “physical loss” or “physical damage” provided anywhere in the policies.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 25 of 31
21
Additionally, the policy language does not require physical alteration for there to be direct physical
loss, and courts addressing similar ingress and egress coverage have not required such to find
physical loss.
In Fountain Powerboat Indus., Inc. v. Reliance Ins. Co., 119 F. Supp. 2d 552 (E.D.N.C.
2000), the court examined whether the closure of an access road to insured’s facility following a
hurricane triggered coverage under an ingress and egress clause, even though the interruption there
was not caused by physical damage to the insured’s property:
The court cannot find, and neither party has provided, any case in any
jurisdiction that interprets an ingress/egress clause contained in the business
interruption loss section of an insurance policy. The court believes that this
is due to the fact the meaning of the clause is exceedingly clear. Loss
sustained due to the inability to access the Fountain facility and resulting
from a hurricane is a covered event with no physical damage to the
property required.
Id. at 556-57 (emphasis added). Further, the Fountain court recognized that coverage should be
afforded if there was an interference with reasonable access to the facility, even if extraordinary
means could lead to access. Id. at 557 n.4 (“The efforts of Fountain to pick up employees and drive
them to work are extraordinary. The court finds that the ingress/egress provision relates only to
reasonable access to the Fountain facility and does not therefore apply to extraordinary efforts by
Fountain or its employees to get to work over closed and flooded roads.”) (emphasis added).
While Cincinnati correctly notes that ingress and egress coverage does not apply in the
policies at issue if it occurs as the direct result of Civil Authority prohibition, Plaintiffs have
properly alleged that the presence of COVID-19 within Plaintiffs’ respective establishments
rendered the premises unsafe for human ingress and egress regardless of (and in addition to) any
prohibition set forth by civil authority. See Compl. ¶¶ 14, 58, and 63 (“Plaintiffs were forced to
suspend or reduce business at their covered premises due to COVID-19 and the ensuing orders
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 26 of 31
22
issued by civil authorities….”); (“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 the property.”); (“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.”) (emphasis added). In other words, as
alleged, the presence of COVID-19 within the Plaintiffs’ establishments, and the community at
large, caused the resulting prevention of ingress and egress at each premises. The fact that Civil
Authority actions also denied ingress and egress is irrelevant where the necessary and sufficient
conditions for coverage had already been met.
D. Dependent Property Coverage is plausibly alleged
Cincinnati next argues there can be no Dependent Property coverage because such
coverage requires “both a direct physical loss to dependent property and a necessary suspension
of the insured’s business as a result of that direct physical loss.” Motion at 24. Under the policies,
“dependent property” includes property operated by others whom the insured depends on to deliver
material services to it, accept its products or services, manufacture products for delivery to its
customers, or attract customers to its business. See, e.g., Doc. 1-1 at 64. Once more, the crux of
Cincinnati’s argument is the incorrect interpretation of “physical loss.” However, as to the
policies’ requirement that direct physical loss occur to “dependent property,” Plaintiffs have
sufficiently demonstrated that the presence of COVID-19 throughout the community at large in
the Springfield and Kansas City metropolitan areas resulted in direct physical loss to property
relied upon by Plaintiffs to maintain their respective business operations. See Compl. ¶¶ 50, 55
(“COVID-19 infections are spread through droplets of different sized which can be deposited on
surfaces or objects.”); (“The presence of any COVID-19 particles renders items of physical
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 27 of 31
23
property unsafe and the premises unsafe.”); (“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.”). In short, the presence of COVID-19 particles amongst
Plaintiffs’ communities, including both property/surfaces throughout the communities and people
within the communities, is a direct physical loss of dependent property on which Plaintiffs’
businesses rely.
As detailed in Plaintiffs’ Complaint, the Closure Orders that mandated, among other things,
a limit on public gatherings, required citizens to stay home unless performing “essential activities,”
and required businesses to suspend operation unless declared an “essential business” proximately
resulted in Plaintiffs’ lack of customers to accept their respective products and/or services and a
lack of attraction to Plaintiffs’ businesses. See Compl. ¶¶ 65–96. Plaintiffs’ loss of busines income
deriving from direct physical loss of property within their communities is properly pleaded as
Dependent Property Coverage pursuant to the policies, and Cincinnati’s Motion to Dismiss this
claim of coverage must be denied.
E. Sue and Labor Coverage is plausibly alleged
Finally, Cincinnati contends that the policies provide no coverage for prevention of loss,
commonly referred to as Sue and Labor coverage. Instead, Cincinnati argues that the policies
simply impose a duty on the insured to prevent further damage to the extent reasonably possible
in the event of a Covered Cause of Loss. Cincinnati admits Plaintiffs would be entitled to recover
expenses in such circumstances, but denies that there is a covered loss triggering the recovery of
expenses. Motion at 25.
Contrary to Cincinnati’s argument, Plaintiffs’ allegations show the “Preservation of
Property Clause” clause in the policies should be regarded as a distinct type of coverage
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 28 of 31
24
supplementing the policies. The clause is clearly designed to protect the insurer’s interest by
reducing and mitigating the risk of damage from a covered loss, and Eighth Circuit case law
supports Plaintiffs’ position. See Assicurazioni Generali S.P.A. v. Black & Veatch Corp., 362 F.3d
1108 (8th Cir. 2004). In that case, after storm damage to construction equipment, plaintiff brought
a claim for consequential damages and the expenses incurred to avoid delay on a project. In finding
plaintiff was entitled to reimbursement of such expenses, the court stated: “We are hard pressed to
see how the [insurer] reasonably can claim that [Plaintiff] had no duty to minimize losses under
the policy that it procured, and instead should have left the [insurer] with even greater losses to
pay.” 362 F.3d at 1116.
Regardless of Cincinnati’s semantics in characterizing the policies’ Preservation of
Property Clause, there appears to be no dispute that Plaintiffs are entitled to recover costs in
preventing further loss should a Covered Cause of Loss be established. As detailed throughout
Plaintiffs’ Complaint, and as explained throughout these Suggestions in Opposition, Plaintiffs’
allegations properly state plausible and cognizable claims for coverage under numerous clauses
within the policies. And Plaintiffs undertook reasonable measures in closing their respective
businesses to prevent the further spread and prolonging of the virus within their properties. See
Compl. ¶ 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
connection with reasonable steps to protect Covered Property.”). As such, the Court should deny
the Motion to Dismiss Plaintiffs’ claim for Sue-and Labor Coverage under the policies.
IV.
CONCLUSION
For the foregoing reasons, Plaintiffs respectfully request that the Court deny the Motion to
Dismiss in its entirety.
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 29 of 31
25
Dated: July 20, 2020
Respectfully submitted by:
BOULWARE LAW LLC
/s/ Brandon J.B. Boulware
Brandon J.B. Boulware
MO # 54150
Jeremy M. Suhr
MO # 60075
1600 Genessee Street, Suite 416
Kansas City, MO 64102
Tele: (816) 492-2826
Fax:
(816) 492-2826
brandon@boulware-law.com
jeremy@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
WAGSTAFF & CARTMELL LLP
/s/ Thomas A. Rottinghaus
Thomas A. Rottinghaus
MO # 50106
Tyler W. Hudson
MO # 53585
Jack T. Hyde
MO # 63903
4740 Grand Avenue, Suite 300
Kansas City, MO 64112
(816) 701-1100 (telephone)
(816) 531-2372 (facsimile)
trottinghaus@wcllp.com
thudson@wcllp.com
jhyde@wcllp.com
Attorneys for Plaintiffs
Case 6:20-cv-03127-SRB Document 31 Filed 07/20/20 Page 30 of 31
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CERTIFICATE OF SERVICE
I hereby certify that on this 20th day of July 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 Plaintiffs
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