Opinion

CAFE PATACHOU AT CLAY TERRACE, LLC v. CITIZENS INSURANCE COMPANY OF AMERICA

Court
District Court, S.D. Indiana
Filed
Dec 22, 2021
Cited by
0 cases
Authority
More cited than 21.7%

"A reasonable construction that supports the policyholders’ position must be enforced as a matter of law."

How later courts described this case

  • "A reasonable construction that supports the policyholders’ position must be enforced as a matter of law."
  • holding insurance policy unambiguous despite disagreement between jurisdictions
  • "[F]ailing to define a policy term merely means it has no exclusive special meaning, and the courts can interpret it."

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF INDIANA

INDIANAPOLIS DIVISION

CAFE PATACHOU AT CLAY TERRACE, )

LLC, et al. )

)

Plaintiffs, )

)

v. ) No. 1:20-cv-01462-SEB-DLP

)

CITIZENS INSURANCE COMPANY OF )

AMERICA, )

)

Defendant. )

)

)

INSURANCE SERVICES OFFICE, INC, )

)

Interested Party. )

ORDER ON PENDING MOTIONS

This cause is before the Court on Defendant's Motion for Summary Judgment

[Dkt. 61], Plaintiffs' Cross-Motion for Partial Summary Judgment [Dkt. 70], and

Defendant's Motion to Strike Plaintiffs' Cross-Motion for Partial Summary Judgment

[Dkt. 75]. This action was initiated by Plaintiffs to recover under a commercial insurance

policy provided by Defendant ("Citizens") for economic losses sustained due to business

closures necessitated by the spread of the novel coronavirus ("COVID-19"). Both parties

seek summary judgments and Defendant also asks the Court to strike Plaintiffs' Cross-

Motion for Partial Summary Judgment as untimely. For the reasons explicated below, we

GRANT Defendant's Motion for Summary Judgment and Defendant's Motion to Strike

Plaintiffs' Cross-Motion for Partial Summary Judgment. Accordingly, the clerk is

directed to note as stricken on the docket Plaintiffs' Cross-Motion for Partial Summary

Judgment [Dkt. 70] to reflect this ruling.1

Factual Background

Plaintiffs are all separate restaurant establishments operating under common

ownership within Indianapolis and Carmel, Indiana. Dkt. 60 at 2. We refer to them

collectively as "Patachou," throughout this entry.

Beginning in March 2020, the spread of COVID-19 triggered a series of

governmental orders across the country limiting large gatherings, mandating social

distancing, and suspending non-essential activities and services. On March 6, 2020, the

State of Indiana declared that a public health emergency existed attributable to COVID-

19. See dkt. 60-2 at 1. On March 13, 2020, the President of the United States declared

COVID-19 to be a national emergency. See id.

On March 16, 2020, food service establishments in Indiana, including restaurants

providing in-person dining services, were required to close their establishments to in-

person patrons, but were authorized to continue to provide drive-thru, take-out, and

delivery services. See id. at 2. The following day, Patachou suspended all operations at

nine of its twelve restaurants, but provided carry-out services at two of its restaurants for

an additional three days before suspending all operations at all locations as of March 20,

2020. Dkt. 66-1 at 5. On March 23, 2020, Indiana's governor issued an executive order

1 The clerk is also directed to STRIKE the sealed and redacted versions of Plaintiffs' Reply in

Support of its Cross-Motion for Summary Judgment [Dkt. 90; Dkt. 91], as this brief effectively

serves as an impermissible surreply. See S.D. Ind. L.R. 56-1(d).

directing the Indiana State Department of Health and local boards of health to take "all

available administrative and enforcement actions against establishments that provide in-

dining services." Dkt. 66-2 at 2.

The prohibition on in-person dining services remained in effect until May 2020,

when Indiana announced its plan to reopen businesses and entities on a staged basis at a

rate pegged to each county's COVID-19 statistics. See dkt. 60-6. Patachou re-opened

three of its restaurants on May 28, 2020 and seven more restaurants between June and

July 2020, but two restaurants closed permanently. Dkt. 66-1 at 5. There is no evidence

that the COVID-19 virus was ever detected at any Patachou property. Dkt. 60 at ¶ 15.

On March 20, 2020, Patachou submitted a claim to Citizens for insurance

coverage to offset financial losses from the closures. Under Citizens' commercial

insurance policy ("Policy"), Citizens agreed to pay Patachou's lost business income and

extra expenses due to a suspension of operations if the suspension was caused by "direct

physical loss of or damage to" Patachou's property. Dkt. 60-1 at 54. The "loss or damage"

must have been caused by or resulted from a Covered Cause of Loss. Id. Covered Cause

of Loss means any "direct physical loss unless the loss is excluded or limited in this

policy." Id. at 157. The Policy sets forth several exclusions including an "Ordinance or

Law" exclusion and an "Exclusion of Loss Due to Virus or Bacteria." Id. at 152, 157.

Patachou's claim to Citizens sought coverage based on the losses it sustained when its

establishments were completely shut down following Indiana's executive orders.

Six days later, on March 26, 2020, Citizens denied Patachou's claim, stating that it

had determined there to have been no covered "loss" under the Policy because Patachou's

restaurants did not sustain any "direct physical damage" and, alternatively, that the

Policy's virus exclusion barred coverage even if Patachou could show that it suffered a

covered loss. See dkt. 60-10 at 1–3. On April 17, 2020, Plaintiffs initiated this declaratory

judgment lawsuit in Marion Superior Court seeking a ruling that, under the terms of the

insurance policy, Patachou's losses constituted an actual loss of business income due to a

necessary suspension of its operations, that the suspension had been caused by "direct

'loss' to property," and the "loss" had been caused by or resulted from a "Covered Cause

of Loss." Dkt. 6 at 8. Defendant timely removed this action to our court on May 20, 2020,

asserting diversity jurisdiction under 28 U.S.C. § 1332(a). Dkt. 1.

Legal Analysis

To reiterate, three motions are at issue here. Because a ruling on Citizens' motion

to strike affects the facts at issue in the parties' summary judgment motions, we shall first

address the motion to strike and then address the summary judgment motions.

I. Motion to Strike Plaintiffs' Cross-Motion for Partial Summary Judgment

Citizens has moved to strike Patachou's Cross-Motion for Summary Judgment

based on its untimely filing pursuant to the Court's scheduling deadline. For the following

reasons, we shall GRANT Citizens' Motion to Strike. Dkt. 75.

The July 29, 2020, Case Management Plan ("CMP") imposed deadlines for

discovery and the filing of dispositive motions. The CMP designated May 20, 2021 as the

deadline for filing dispositive motions, noting the parties' belief that summary judgment

would likely resolve this insurance-coverage dispute. Dkt. 23 at 5. On May 18, 2021, the

Court granted a joint motion to extend the dispositive motion deadline due to ongoing

discovery. Dkt. 48. Patachou subsequently sought a second extension of time to file a

dispositive motion, [Dkt. 53], which the Court granted. The deadline was thus to July 30,

2021. Dkt. 55.

Citizens timely filed its motion for summary judgment in response to which

Patachou sought another extension of time to respond, which the Court again granted. See

Dkt. 61; Dkt. 64; Dkt. 68. Patachou's motion for an extension of time made no mention of

its intent to file (or seek to file) an untimely cross-motion for summary judgment. Dkt.

64. Nevertheless, on August 30, 2021, thirty-one days after the dispositive motion

deadline, Patachou filed a cross-motion for summary judgment contemporaneous with its

brief in response to Citizens' motion for summary judgment. Dkt. 70; Dkt. 71.

Patachou maintains that despite the lateness of its cross-motion, it should be

permitted because its untimeliness did not prejudice Citizens and would reduce the

difficulty of the legal analysis both for Citizens and the Court by eliminating the

necessity of filing two additional briefs, which would have resulted had both sides filed

their respective motions by the designated deadline. Patachou describes its cross-motion

as being limited in both purpose and substance, and essentially "identical" to a response

to Defendant's summary judgment motion, "save for a couple extra lines of text in a

footnote and a few stray references." Dkt. 76 at 1–2. No "new" issues, it says, were raised

in its cross-motion, as each issue raised "supports both Patachou's opposition and its

cross-motion—in the exact same manner." Id. at 2 (emphasis in original).

Citizens responds that Patachou's cross-motion for summary judgment should be

stricken because it is plainly too late and is, in fact, prejudicial to Citizens interests.

Citizens reports that Patachou's counsel had previously attempted to obtain Citizens'

agreement to a dispositive motion schedule that would have required Citizens to file its

motion before Patachou's, thus providing Patachou the opportunity for the "last word."

Dkt. 75-1. Citizens did not agree to modify the Court-ordered CMP schedule, confirming

instead with opposing counsel that the parties should file their respective motions by the

CMP's dispositive motion deadline. Id. In submitting their cross-motion following a

twice-extended deadline, Citizens argues that Patachou is attempting to unilaterally

impose its preferred schedule on Citizens and the Court. See id.

Rule 56(f) of the Federal Rules of Civil Procedure provides that the Court may, on

its own motion, "(1) grant summary judgment for a nonmovant; [or] (2) grant the motion

on grounds not raised by a party." Patachou relies on Rule 56(f) and a prior ruling from

this court, Society Insurance v. Jiffy Mini Marts, Inc., to support its claim that its

untimely filing will not prejudice Citizens because the court is authorized when

appropriate to enter summary judgment in its favor even without the filing of a cross-

motion. No. 2:08-cv-0203, 2011 U.S. Dist. LEXIS 169821 (S.D. Ind. May 24, 2011)

(denying insurer's motion to strike untimely cross-motion when new issues were not

raised, where Plaintiff had not habitually missed court deadlines). Patachou maintains

that the purpose behind the filing of its cross-motion was to "create a clean record and

streamline briefing for the Court," arguing that its "four-brief" procedure is "far superior"

to the "six-brief quagmire that Citizens proposes," so "it is hard to see any basis for

Citizens' outrage." Dkt. 76 at 4–5.

We regard these arguments by Patachou as misleading and a bit disingenuous in

light of the procedural history between the parties and with the Court. As Citizens

correctly observes, "[c]ourts do not enter deadlines for no reason." Dkt. 77 at 1. Here,

Rule 56(f), F.R Civ. P., rather than authorizing Patachou's self-designed schedule,

actually supports the entry of an order to strike Patachou's untimely cross-motion, since a

cross-motion is not required, and in any event, Patachou has not provided any persuasive

reason to excuse its untimeliness. As our late colleague, Judge McKinney, stated in

Society Insurance, "The Court has wide discretion in deciding whether to consider an

untimely motion for summary judgment." Soc'y Insurance, 2011 U.S. Dist. LEXIS

169821, at *3. Patachou would likely have been on firmer procedural footing here if it

had sought an extension of time or sought leave to file a cross-motion after the deadline

passed or otherwise explained its tardiness. See Patton v. MFS/Sun Life Financial

Distributors, Inc., No. 1:04-cv-01335, 2005 WL 6115328, at *1 (S.D. Ind. Nov. 8, 2005)

(granting motion to strike cross-motion filed forty-two days after the dispositive motion

deadline when plaintiff failed to seek an extension or leave to file the untimely motion);

Wyatt v. Michelin N. Am., Inc., No. 1:02-CV-234, 2003 WL 21918710 (N.D. Ind. July 16,

2003) (granting a motion to strike filed four weeks after the dispositive motion deadline).

Alas, Patachou chose simply to plow ahead with its ad hoc submission(s) and hope for

the best.

Being duly advised, we find both unjustified delay and significant prejudice to

Citizens if the motion is not stricken Thus, we GRANT Defendant's Motion to Strike

Plaintiffs' Cross Motion for Summary Judgment. The arguments presented in Plaintiffs'

briefing fashioned as support for its cross-motion will not be considered. As Patachou

itself has stated, however, its brief in support of its cross-motion is substantively identical

to any response it would have filed to Defendant's motion for summary judgment. See

dkt. 76 at 1–2. Therefore, Plaintiffs' brief will be deemed a response to Citizens' Motion

for Summary Judgment. We shall disregard any text or references pertaining to Plaintiffs'

cross-motion in our analysis.

II. Summary Judgment Analysis

A. Standard of Review

Summary judgment is appropriate where there are no genuine disputes of material

fact and the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a);

Celotex Corp. v. Catrett, 477 U.S. 317, 322–23 (1986). A court must grant a motion for

summary judgment if it appears that no reasonable trier of fact could find in favor of the

nonmovant on the basis of the designated admissible evidence. Anderson v. Liberty

Lobby, Inc., 477 U.S. 242, 247–48 (1986). We neither weigh the evidence nor evaluate

the credibility of witnesses, id. at 255, but view the facts and the reasonable inferences

flowing from them in the light most favorable to the nonmovant. McConnell v. McKillip,

573 F. Supp. 2d 1090, 1097 (S.D. Ind. 2008).

B. Applicable Law

Federal jurisdiction in the case at bar is based on diversity of citizenship, the

resolution of which, as the parties agree, invokes principles of Indiana law. Dkt. 62 at 5;

Dkt. 71 at 9. Under Indiana law, the interpretation of the provisions of an insurance

contract raises questions of law to be determined by a court. Buckeye State Mut. Ins. Co.

v. Carfield, 914 N.E.2d 315, 318 (Ind. Ct. App. 2009) (citing Briles v. Wausau Ins. Co.,

858 N.E.2d 208, 213 (Ind. Ct. App. 2006)). When interpreting an insurance policy, the

court must "ascertain and enforce the parties' intent as manifested in the insurance

contract" Id., based on the policy as a whole in light of all the terms of the contract, not

simply individual words, phrases, or paragraphs. Briles, 858 N.E.2d at 213. A court must

also accept an interpretation of the contract language that harmonizes the various

provisions, rather than embracing conflicting versions of those provisions. Id. As such, a

court "should construe the language of a contract so as not to render any words, phrases,

or terms ineffective or meaningless." Mahan v. Am. Standard Ins. Co., 862 N.E.2d 669,

676 (Ind. Ct. App. 2007).

C. Policy Provisions

Patachou asserts that its losses are covered under the Policy's Business Income and

Extra Expense. These provisions provide, in relevant part, that:

(1) Business Income: We will pay for the actual loss of Business Income you

sustain due to the necessary "suspension" of your "operations" during the

"period of restoration". The "suspension" must be caused by direct

physical loss of or damage to property at premises which are described in

the Declarations. The loss or damage must be caused by or result from a

Covered Cause of Loss.

. . .

(2) Extra Expense:

a. Extra Expense coverage is provided at the premises . . . only if . . .

Business Income coverage applies at that premises.

b. Extra Expense means necessary expenses you incur during the “period of

restoration” that you would not have incurred if there had been no direct

physical loss or damage to property caused by or resulting from a

Covered Cause of Loss.

Dkt. 60-1 at 54 (emphasis added).

Lost business income and extra expenses are paid only during the "period of

restoration" which begins "72 hours after the time of direct physical loss or damage for

Business Income coverage" or "[i]mmediately after the time of direct physical loss or

damage for Extra Expense coverage" and ends either when the insured property "should

be repaired, rebuilt or replaced with reasonable speed" or when "business is resumed at a

new permanent location," whichever comes first. Id. at 59.

The Policy further provides that "Covered Causes of Loss means direct physical

loss unless the loss is excluded or limited in this policy." Id. at 157 (emphasis added). As

such, the Policy is an "all-risk" policy requiring that "an insured must prove that it

suffered a covered loss before the burden shifts to the insurer to show an exclusion."

Ports of Ind. v. Lexington Ins. Co., No. 1:09-cv-0854, 2011 WL 5523419, at *9 (S.D. Ind.

Nov. 14, 2011); see also RAP Indy, LLC v. Zurich Am. Ins. Co., No. 1:19-cv-04657, 2021

WL 2416740, at *2 (S.D. Ind. June 14, 2021) (applying Indiana law and holding that the

insured has the initial burden of showing the existence of a loss under an "all-risk" policy

before the burden shifts to the insurer). Therefore, Patachou's claim for coverage requires

it first to prove that it has suffered "direct physical loss" before the burden shifts to

Citizens to show that one or more of the Policy exclusions applies to bar coverage. See

Dkt. 60-1 at 54.

D. Coverage

The parties' coverage dispute begins with the issue of whether Patachou has

suffered any "direct physical loss of . . . property." We note that the Indiana appellate

courts have not yet considered whether economic losses stemming from COVID-19

governmental shutdowns constitute "direct physical loss of . . . property" sufficient to

establish coverage under a commercial insurance policy. When a state's highest court has

not ruled on an issue, our court "must apply Indiana law by doing [its] best to predict how

the Indiana Supreme Court would decide" the issue. Webber v. Butner, 923 F.3d 479, 482

(7th Cir. 2019); see also Frye v. Auto-Owners Ins. Co., 845 F.3d 782, 786 (7th Cir.

2017). When a dispute arises over the meaning of insurance policy terms, as it has here,

"Indiana courts afford clear and unambiguous policy language its plain, ordinary

meaning." Erie Indem. Co. for Subscribers at Erie Ins. Exch. v. Est. of Harris by Harris,

99 N.E.3d 625, 630 (Ind. 2018) (citation omitted). But, "[w]here there is ambiguity,

insurance policies are construed strictly against the insurer, and the policy language is

viewed from the standpoint of the insured." State Farm Mut. Auto. Ins. Co. v.

Jakubowicz, 56 N.E.3d 617, 619 (Ind. 2016).

The Policy includes no explicit definition of the phrase "direct physical loss of . . .

property" see dkt. 60-1, but the absence of such a provision does not necessarily create an

ambiguity. see Erie, 99 N.E.3d at 630 ("[F]ailing to define a policy term merely means it

has no exclusive special meaning, and the courts can interpret it."). Further, the existence

of a disagreement among courts interpreting a specific insurance policy provision is not

enough, by itself, to conclude that a particular clause is ambiguous. See Allgood v.

Meridian Sec. Ins. Co., 836 N.E.2d 243, 248 (Ind. 2005) (holding insurance policy

unambiguous despite disagreement between jurisdictions); Circle Block Partners, LLC v.

Fireman's Fund Ins. Co., No. 1:20-cv-02512, 2021 WL 3187521, at *5–6 (S.D. Ind. July

27, 2021). Instead, a phrase or provision is "ambiguous only if it is susceptible to more

than one reasonable interpretation." G&G Oil Co. of Indiana v. Cont'l W. Ins. Co., 165

N.E.3d 82, 87 (Ind. 2021) (citations and emphasis omitted). In other words, the issue of

contractual ambiguity turns on whether "reasonably intelligent policyholders could . . .

legitimately disagree as to what the [phrase] means." Id.

Patachou maintains that it suffered a "direct physical loss of" its property when the

government's shut down orders forbade it from fully accessing and using its facilities for

over two months. See dkt. 60-9. At the very least, therefore, the phrase "direct physical

loss of . . . property" is ambiguous. Citing a series of federal and out-of-state state

decisions, Patachou contends that "direct physical loss" has been subjected to a "spectrum

of accepted interpretations" and is a concept (or phrase) that should be broadly construed

to encompass property that is "uninhabitable, inaccessible, or dangerous to use because of

intangible, or non-structural, sources." Dkt. 71 at 12–15 (quoting Elegant Massage LLC

v. State Farm Mut. Auto. Ins. Co., 2020 U.S. Dist. LEXIS 231935, at *22, *27 (E.D. Va.

Dec. 9, 2020)). Due to Indiana's governmental orders, Patachou's business establishments

were deemed uninhabitable and inaccessible for in-person dining, which constituted a

"direct physical loss." Alternatively, Patachou argues, given the "spectrum of

interpretations" of the phrase, its interpretation deserves adoption and enforcement here

because it is reasonable. See Everett Cash Mut. Ins. Co. v. Taylor, 926 N.E.2d 1008, 1014

(Ind. 2010) ("A reasonable construction that supports the policyholders’ position must be

enforced as a matter of law.").

Citizens responds that Indiana trial courts who have analyzed this Policy's

operative language have unanimously ruled that economic losses stemming from

pandemic-related governmental orders do not constitute "physical loss." The

governmental orders issued by Indiana permitted restaurant establishments to provide

carryout, take-out, delivery, and drive-through services. Thus, Patachou cannot establish

any actual, demonstratable harm to its properties or that the governmental executive

orders prohibited "all access" to its establishments; if Patachou chose to close its

restaurants completely, it did so voluntarily. The clear and unambiguous language of the

Policy, says Citizens, covers the Plaintiffs' property against direct physical loss or

damage; because Patachou's property remained in the same "physical" condition that it

was in prior to any COVID-19 related executive orders, Patachou cannot be deemed to

have suffered a covered loss under the Policy.

We share Defendant's view that Patachou has failed to establish a "direct physical

loss of . . . property" warranting coverage under the Policy. Courts addressing this issue

under Indiana law have, indeed, been unanimous in their conclusion that economic losses

prompted by or resulting from COVID-19 government shutdowns and restrictions do not

constitute a "direct physical loss." Circle Block Partners, LLC, 2021 WL 3187521, at *4

(S.D. Ind. July 27, 2021) (finding that "'direct physical loss' to property requires a

harmful alteration in the appearance, shape, color, composition, or other material

dimension of the property"); Georgetown Dental, LLC v. Cincinnati Ins. Co., No. 1:21-

cv-00383, 2021 WL 1967180, at *7 (S.D. Ind. May 17, 2021) (holding that insurance

policy's coverage requirement of "'physical loss' or 'physical damage' must be actual and

demonstrable harm"); Indiana Repertory Theatre v. Cincinnati Ins. Co., No. 49D01-

2004-PL-013137, 2021 WL 5312179, at *11 (Ind. Super. Ct. Mar. 12, 2021) ("If loss of

use alone qualified as direct physical loss to property, then the term 'physical' would have

no meaning."); MHG Hotels, LLC v. Emcasco Ins. Co., Inc., No. 1:20-cv-01620, 2021

WL 4472701, at *5 (S.D. Ind. Mar. 8, 2021) (interpreting policy's coverage of "direct

physical loss" to mean "a loss that requires the insured to repair, rebuild, or replace

property that has been tangibly, physically altered – not the insured's loss of use of that

property").

We find persuasive the logic explicated in these opinions. It incorporates a cogent

analysis of factually similar situations compared to our case. Patachou attempts to

distinguish these holdings on the basis of ultimately insubstantial differences of language,

to wit, that "direct physical loss of" property (the language of the Policy before us)

materially differs from "direct physical loss to" property (the policy language in other

recently issued COVID-19 insurance decisions) because the words "to" and "of" are not

linguistically interchangeable. Dkt. 71 at 22. We regard this distinction as being without a

difference, and in any event, it is not a distinction that has been recognized as controlling

by other courts interpreting Indiana law. Indiana courts have analyzed “direct physical

loss of or damage to property” (MHG Hotels), “direct physical loss or damage to

property” (Indiana Repertory Theatre and Circle Block), and “accidental physical loss or

accidental physical damage” (Georgetown Dental) provisions, and, in each instance, held

that demonstratable physical harm to property is what is contemplated and required.

The controlling provision in the Citizens' Policy is the phrase "direct physical

loss," which unambiguously "requires a physical alteration to property." Sandy Point

Dental, P.C. v. Cincinnati Ins. Co., No. 21-1186, 2021 WL 5833525, at *4 (7th Cir. Dec.

9, 2021); see also Indiana Repertory Theatre, 2021 WL 5312179, at *11 ("[T]he Policy

requires physical alteration to the premises to trigger the business income coverage.").

The Seventh Circuit has recently joined the Sixth, Eighth, Ninth, and Eleventh Circuits2

in holding that claims for business losses attributable to COVID-19 governmental

executive orders imposing requirements on businesses to close or dramatically scale back

their respective operations, unaccompanied by any physical alteration to property, do not

result in a "direct physical loss." See Bradley Hotel Corp. v. Aspen Specialty Ins. Co., No.

21-1173, 2021 WL 5833486, at *1 (7th Cir. Dec. 9, 2021); Crescent Plaza Hotel Owner,

L.P. v. Zurich Am. Ins. Co., No. 21-1316, 2021 WL 5833485, at *1–2 (7th Cir. Dec. 9,

2021); Sandy Point Dental, P.C., 2021 WL 5833525, at *4. Although these recent

Seventh Circuit opinions applied Illinois law, we find no basis on which to conclude that

the interpretive principles under Illinois law do not apply equally to insurance contracts

in Indiana.3

2 See Santo's Italian Café, LLC v. Acuity Ins. Co., 15 F.4th 398, 402 (6th Cir. 2021); Oral

Surgeons, PC v. The Cincinnati Ins. Co., 2 F.4th 1141 (8th Cir. 2021); Chattanooga Professional

Baseball LLC v. National Casualty Company, No. 20-17422, 2021 WL 4493920 (9th Cir. Oct. 1,

2021); Mudpie, Inc., v. Travelers Casualty Ins. Co. of Am., 15 F.4th 885 (9th Cir. 2021); Selane

Products, Inc. v. Continental Casualty Company, No. 21-55123, 2021 WL 4496471 (9th Cir.

Oct. 1, 2021); Gilreath Family & Cosmetic Dentistry, Inc. v. The Cincinnati Ins. Co., No. 21-

11046, 2021 WL 3870697 (11th Cir. Aug. 31, 2021).

3 "Under Illinois law, an insurance policy is to be construed as a whole, giving effect to every

provision, if possible, because it must be assumed that every provision was intended to serve a

purpose. If the words used in the policy are clear and unambiguous, they must be given their

plain, ordinary, and popular meaning. Furthermore, [a] policy provision is not rendered

In Sandy Point Dental, the Seventh Circuit recently addressed three consolidated

claims by insured businesses, each seeking coverage for income losses sustained on

account of state executive orders requiring them to close or dramatically scale back their

respective operations. Sandy Point Dental, P.C., 2021 WL 5833525, at *1. The plaintiffs

"were covered for income losses resulting from direct physical loss or direct physical

damage to property." Id. at *2. The appellate court rejected plaintiffs' common assertion

that the phrase "direct physical loss" requires an expansive interpretation that

encompasses not only physical alterations to property, but also loss of use. Id. at *3.

Noting that the phrase "direct physical" clearly modifies the word "loss," and that any

other interpretation would remove from the analysis the term "physical," the Seventh

Circuit held that "[w]hatever 'loss' means, it must be physical in nature." Id.

Textual clues "reinforce the conclusion that 'direct physical loss' requires a

physical alteration to property," according to our court of appeals, including the policy's

coverage for losses sustained during a "period of restoration," which incorporates the date

by which the property "should be repaired, rebuilt, or replaced." Id. at *4. There would be

nothing to repair, rebuild, or replace in the absence of a physical alteration to property.

Id. It was Patachou's preferred use of the premises, that is, as a fully operating business

concern, that was effected, not its property as such, when operations were reduced to

partial operations, and limited uses remained possible. The partial loss of use does not

ambiguous simply because the parties disagree as to its meaning. Rather, an ambiguity exists

when the policy language is subject to more than one reasonable interpretation." Sandy Point

Dental, P.C. v. Cincinnati Ins. Co., No. 21-1186, 2021 WL 5833525, at *3 (7th Cir. Dec. 9,

2021) (internal citations and quotation marks omitted).

constitute a "direct physical loss." Id. at *5–6. The policy provisions under review here

provided coverage for losses to plaintiffs' physical property, not for reductions in the

ideal or preferred use of that property. In reaching this conclusion, the Seventh Circuit

rejected other district court decisions representing a minority view that turned on

plaintiffs' loss-of-use theory. See id. at *4–6.

In an analogous case to ours, in Sandy Point Dental, TJBC, Inc. ("TJBC"), one of

the plaintiff's businesses owned and operated food and beverage establishments, which

were required to suspend in-person dining and limit services to delivery and take-out

beginning in March 2020 until June 26, 2020. Id. at *1–2. TJBC, like Patachou, was

prohibited from allowing its restaurant customers to be served inside the business

premises over several months. Neither TJBC nor Patachou alleged any actual physical

harm to its premises. Their complaint was simply that their restaurants were not able to

operate at full tilt during the COVID-19 shutdowns, to-wit, by providing in-person

dining.

The Policy under review here clearly covers a loss to Patachou's physical property;

it does not cover the owners' reduced use of the property in any particular fashion. A

policy provision premised on a "direct physical loss" provides coverage when a loss from

a physical alteration to the insured property has occurred, not for a reduction in the

usefulness of the property or for its inability to function in accordance with its intended

purposes. Thus, we hold that the ordinary meaning of the Policy's coverage requirement

of "direct physical loss of . . . property" does not include coverage for business losses

alleged to have occurred without any physical alteration to the physical premises or the

property located within.

E. Exclusions

Citizens maintains that, even if the Court were to find that Plaintiffs successfully

established a direct physical loss of property for business income and extra expense

coverage, summary judgment in its favor is still required because both the "virus

exclusion"4 and the "ordinance or law exclusion" in the Policy apply to bar Patachou's

claims.5 Given our conclusion that the Policy does not provide coverage for Patachou's

business losses, consistent with the Seventh Circuit's recent holdings, we need go no

further in discussing the applicability of these exclusions. The Policy's exclusions would

be triggered only when a direct physical loss has been established. See, e.g., Sandy Point

Dental, PC v. Cincinnati Ins. Co., 488 F. Supp. 3d 690, 694 n.3 (N.D. Ill. 2020), aff'd sub

nom. Sandy Point Dental, P.C. v. Cincinnati Ins. Co., No. 21-1186, 2021 WL 5833525, at

*1 (7th Cir. Dec. 9, 2021); Santo's Italian Café LLC, 15 F.4th at 406–07 (declining to

resolve the parties' arguments concerning the policy's virus and ordinance and law

exclusions because "the absence of initial coverage for this claim suffices to reject it").

III. Conclusion

4 Under the virus (i.e. COVID-19) exclusion, Citizens "will not pay 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." Dkt. 60-1 at 152.

5 The ordinance or law exclusion applies to bar payment for "loss or damage caused directly or

indirectly" from . . . "the enforcement of or compliance with any ordinance or law … regulating

the construction, use or repair of any property" and applies "even if the property has not been

damaged." Dkt. 60-1 at 157.

For the reasons stated above, Citizens’ Motion for Summary Judgment [Dkt. 61]

and Motion to Strike Plaintiffs' Cross-Motion for Partial Summary Judgment [Dkt. 75]

are GRANTED. Final judgment shall issue accordingly.

IT IS SO ORDERED.

Date: _ 12/22/2021 Fuh Gaus Barker

SARAH EVANS BARKER, JUDGE

United States District Court

Southern District of Indiana

19

Distribution:

George A. Gasper

ICE MILLER LLP (Indianapolis)

george.gasper@icemiller.com

Gregory M. Gotwald

PLEWS SHADLEY RACHER & BRAUN LLP

ggotwald@psrb.com

Christopher Edward Kozak

PLEWS SHADLEY RACHER & BRAUN LLP

ckozak@psrb.com

Ryan Taylor Leagre

PLEWS SHADLEY RACHER & BRAUN

rleagre@psrb.com

Alexa B. Lutchen

DAVIS POLK & WARDWELL LLP

alexa.lutchen@davispolk.com

William K. McVisk

TRESSLER LLP

wmcvisk@tresslerllp.com

George M. Plews

PLEWS SHADLEY RACHER & BRAUN LLP

gplews@psrb.com

Michael Scheinkman

DAVIS POLK & WARDWELL LLP

michael.scheinkman@davispolk.com

Todd Stewart Schenk

TRESSLER SODERSTROM MALONEY & PRIESS

tschenk@tresslerllp.com

Meredith Wood

ICE MILLER, LLP

meredith.wood@icemiller.com

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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