pooling gasoline under and around structure
How later courts described this case
- pooling gasoline under and around structure
- holding that extrinsic evidence “may not be used to vary, contradict, or supplement the contractual terms in violation of the parol evidence rule”
- contamination of structure due to asbestos fibers
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF TENNESSEE
NASHVILLE DIVISION
1210 McGAVOCK STREET )
HOSPITALITY PARTNERS, LLC, )
d/b/a ADELE’S RESTAURANT, )
)
Plaintiff, )
)
v. ) Case No. 3:20-cv-694
) Judge Aleta A. Trauger
ADMIRAL INDEMNITY COMPANY, )
)
Defendant. )
MEMORANDUM
This case is one of many nationwide challenging the denial of insurance coverage for
business losses incurred as a result of governmental orders closing or limiting the operation of
various businesses around the country, including restaurants, in efforts to stem the spread of the
2019 novel coronavirus (“COVID-19” or “coronavirus”) after it was first recognized as a pandemic
by the World Health Organization in March 2019. Now before the court is defendant Admiral
Indemnity Company’s Motion to Dismiss Complaint (Doc. No. 10), seeking judgment in its favor
on the plaintiff’s claims for a declaratory judgment and damages arising from the defendant’s
alleged breach of a commercial insurance policy when it denied the plaintiff’s claim for coverage.
For the reasons set forth herein, the motion will be granted, and this case will be dismissed.
I. FACTUAL AND PROCEDURAL BACKGROUND
Plaintiff 1210 McGavock Street Hospitality Partners, LLC, d/b/a Adele’s Restaurant
(“Adele’s” or “plaintiff”) filed suit in the Chancery Court for Davidson County, Tennessee on July
15, 2020. (Compl., Doc. No. 1-2, at 4–19.1) Defendant Admiral Indemnity Company (“Admiral”
or “defendant”) promptly removed the case to this court on the grounds of diversity jurisdiction.
(Doc. No. 1.)
The plaintiff owns and operates a restaurant in Nashville, Tennessee. In exchange for
“substantial premiums,” it purchased from Admiral a commercial property insurance policy
(“Policy”), in effect from January 1, 2020 through January 1, 2021. (Policy, Doc. No. 11-1, at 2.)
Adele’s characterizes the policy as an “all risk” policy that “provides broad coverage for losses
caused by any cause unless expressly excluded.” (Compl. ¶ 23.)
On March 15, 2020, pursuant to a Declaration of Public Health Emergency adopted by the
Board of Health for Metropolitan Nashville and Davidson County (“Metro”), the Chief Medical
Director for Metro’s Public Health Department issued an order limiting the plaintiff and other
restaurants in Nashville to “half the capacity specified” in their “food service establishment
permit[s],” effective March 17, 2020. (Compl. ¶ 3.) On March 20, 2020, the order was amended
to prohibit the plaintiff and other restaurants from allowing any on-premises dining services “until
further notice.” (Id.; see also Amended & Restated Order 1, Doc. No. 1-2, at 20.) The amended
order specifically did not prohibit restaurants from receiving call-in orders and offering curbside,
take-out, drive-through, and delivery of prepared food and beverage. (Doc. No. 1-2, at 20.) In a
subsequent order, effective March 23, 2020, the Metro Nashville Health Department issued a
“Safer at Home Order,” directing the closure of all “non-essential” businesses through May 10,
2020. (Compl. ¶¶ 4, 42.) Adele’s alleges that this order required it to close and prohibited the
public from accessing its restaurant, thereby causing the “necessary suspension of its operations”
1 The defendant’s attachment to the Notice of Removal includes all of the state court
pleadings, not just the Complaint.
as contemplated by the “Civil Authority” clause of the Policy, discussed below. (Compl. ¶¶ 43,
44.) However, the April 1, 2020 Amended and Restated Order 3 attached to the Complaint
specifically permitted restaurants to continue providing “take-out, window, drive-through or curb-
side service,” as long as they complied with “CDC guidance on social distancing and gathering
sizes.” (Doc. No. 1-2, at 22.) On May 11, 2020, restaurants and bars were permitted to provide on-
premises dining at fifty percent capacity while maintaining social distancing. On May 23, 2020,
Nashville restaurants were permitted to open at seventy-five percent capacity while still
maintaining social distancing. In June 2020, restaurants were briefly permitted to reopen to full
capacity before again being restricted to seventy-five percent. On July 3, Nashville went back to
restricting restaurants to fifty percent capacity. (Id.) (These public health orders are collectively
referred to, below, as the “closure orders.”)
As a result of the closure orders, the plaintiff’s ordinary business operations were
substantially interrupted, and remain interrupted, resulting in significant lost revenues and forcing
the plaintiff to furlough or lay off many of its employees. (Compl. ¶ 6.) Believing that the Policy
covered it for loss attributable to business interruption, Adele’s submitted a claim to Admiral
following the March 15, 2020 closure order, which was denied by letter (“Denial Letter”) dated
April 10, 2020. (Compl. ¶ 9; see also Denial Letter, Doc. No. 1-2, at 39.)
As set forth in the Denial Letter, Admiral’s denial of the claim submitted by Adele’s was
premised, first, upon the defendant’s interpretation of the Policy’s coverage for loss of Business
Income, which states as follows:
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 [covered by the Policy]. The loss or damage must be caused by or result
from a Covered Cause of Loss . . . .
(Doc. No. 1-2, at 40; see also Policy, Business Income (and Extra Expense) Coverage Form ¶ 1
(“Business Income Clause”), Doc. No. 11-1, at 57.) Admiral’s Denial Letter stated that it had not
received notice of “any physical damage” to the covered premises, based on which it concluded
that there was “no coverage under the Policy for any loss of business income” resulting from
curtailment of business operations due to restrictions imposed to prevent the spread of the
coronavirus. (Doc. No. 1-2, at 40.)
Admiral also pointed to the Policy description of coverage for actions by “Civil
Authorities,” which states:
When a Covered Cause of Loss causes damage to property other than property at
the [covered] premises, we will pay for the actual loss of Business Income you
sustain . . . caused by action of civil authority that prohibits access to the [covered]
premises, provided that both of the following apply:
(1) Access to the area immediately surrounding the damaged property is
prohibited by civil authority as a result of the damage, and the [covered]
premises are within that area but not more than one mile from the damaged
property; and
(2) The action of civil authority is taken in response to dangerous physical
conditions resulting from the damage or continuation of the Covered Cause
of Loss that caused the damage, or the action is taken to enable a civil
authority to have unimpeded access to the damaged property.
(Doc. No. 1-2, at 40–41; see also Policy, Business Income (and Extra Expense) Coverage Form
¶ 5.a. (“Civil Authority Clause”), Doc. No. 11-1, at 58).) Admiral stated that this provision also
did not provide coverage, because there was no physical damage from a covered cause of loss to
other property, and no civil authority had limited physical access to the plaintiff’s restaurant. (Doc.
No. 1-2, at 41.)
The Denial Letter also relied on the Policy endorsement entitled “Exclusion of Loss Due
to Virus or Bacteria,” Form CP 01 40 07 06. (Doc. No. 1-2, at 41.) This Endorsement provides, in
relevant part:
A. The exclusion set forth in Paragraph B. applies to all coverage under all forms
and endorsements that comprise this Coverage Part or Policy, including but not
limited to forms or endorsements that cover property damage to buildings or
personal property and forms or endorsements that cover business income, extra
expense or action of civil authority.
B. We 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.
(Doc. No. 1-2, at 41; see also Policy, Exclusion of Loss Due to Virus or Bacteria (“Virus Exclusion
Clause”), Doc. No. 11-1, at 80).)
Finally, the Denial Letter pointed to the “Causes of Loss – Special Form” of the Policy,
defining the term “Covered Causes of Loss” to mean “Risks of Direct Physical Loss” unless the
loss is expressly excluded by Section B, “Exclusion,” or limited in Section C, “Limitations.” (Doc.
No. 1-2, at 42.) The referenced “Exclusions” paragraph excludes coverage for losses incurred as a
result of “[a]cts or decisions . . . of any . . . governmental body.” (Policy, Causes of Loss – Special
Form ¶ B.3.b., Doc. No. 11-1, at 72.) Admiral explained that its decision to deny coverage was
based on its understanding that
the restaurant has temporarily curtailed its operations, in whole or in part, in
response to the current public health emergency and related actions by
governmental authorities to restrict public gatherings in an effort to prevent or
mitigate the spread or effects of the coronavirus. . . .
Because we have concluded that there exists no coverage for your claim as stated
in the Notice of Loss, we have not investigated and have not addressed the issues
of loss measurement and application of deductible.
(Doc. No. 1-2, at 42–43.)
The Complaint contests these reasons for the denial of coverage, but as a matter of contract
interpretation rather than as a matter of contested facts. The plaintiff asserts that “[t]he Policy does
not define the phrase ‘direct physical loss of or damage to covered property’” (Compl. ¶ 25) and
that the phrase “may be reasonably interpreted to occur when a covered cause of loss threatens or
renders property unusable or unsuitable for its intended purpose or unsafe for normal human
occupancy and/or continued use” (Compl. ¶ 27). The plaintiff asserts that “[c]ontamination of the
Plaintiff’s property would be a direct physical loss requiring remediation to clean the surfaces of
the Plaintiff’s restaurant” and that there is an “ever-present risk that the Plaintiff’s property is
contaminated and will continue to be contaminated.” (Compl. ¶¶ 39. 41.) The Complaint alleges
that Nashville’s closure orders were made “in direct response to the continued and increasing
presence of the coronavirus on property on or around Plaintiff’s premises” and that, by prohibiting
the public from accessing the plaintiff’s restaurant, the closure orders caused the suspension of its
operations and triggered the “Civil Authority coverage” under the Policy. (Compl. ¶¶ 42, 43.)
The plaintiff also asserts that the Virus Exclusion Clause “does not apply to the ‘business
losses’ incurred by Plaintiff here.” (Compl. ¶ 34.) In support of this claim, it states, in an entirely
conclusory fashion, that, insofar as the closure orders constitute “direct physical loss of or damage
to” the covered premises, “the Virus Exclusion simply does not apply.” (Compl. ¶ 49.) Second, it
claims that, even if such direct physical loss or damage was caused by the coronavirus, the
defendant should be estopped from enforcing the Virus Exclusion, based on “principles of
regulatory estoppel, as well as general public policy.” (Compl. ¶ 50.) Its “regulatory estoppel”
argument is based on purported misrepresentations allegedly made by “insurance industry trade
groups” in 2006 in order to persuade state insurance regulators to permit insurers to adopt virus
exclusion clauses. (Compl. ¶¶ 51–57.)
The defendant has now filed it Motion to Dismiss and supporting Memorandum of Law,
along with a complete copy of the Policy. (Doc. Nos. 10, 11, 11-1.) Its arguments largely mirror
those set forth in the Denial Letter, which are based on its interpretation of the wording in the
Policy itself, but Admiral also posits that no Tennessee court has adopted the doctrine of regulatory
estoppel and that the Sixth Circuit has strongly indicated that it would not apply under Tennessee
law.
The plaintiff has filed a Response (Doc. No. 16), basically reiterating the arguments made
in the Complaint, and the defendant filed a Reply (Doc. No. 19).
II. STANDARD OF REVIEW
In deciding a motion to dismiss for failure to state a claim under Rule 12(b)(6), the court
will “construe the complaint in the light most favorable to the plaintiff, accept its allegations as
true, and draw all reasonable inferences in favor of the plaintiff.” Directv, Inc. v. Treesh, 487 F.3d
471, 476 (6th Cir. 2007); Inge v. Rock Fin. Corp., 281 F.3d 613, 619 (6th Cir. 2002).
“In evaluating a motion to dismiss, we ‘may consider the complaint and any exhibits
attached thereto, public records, items appearing in the record of the case and exhibits attached to
defendant’s motion to dismiss so long as they are referred to in the complaint and are central to
the claims contained therein.’” Ryniewicz v. Clarivate Analytics, 803 F. App’x 858, 863 (6th Cir.
2020) (quoting Luis v. Zang, 833 F.3d 619, 626 (6th Cir. 2016)). Accordingly, even though the
plaintiff did not attach the complete Policy to the Complaint, the court may consider the Policy
submitted with the defendant’s Motion to Dismiss. Accord Ryniewicz, 803 F. App’x at 863–64
(affirming dismissal of breach of contract claim, based on the terms of the contract attached to the
defendant’s motion).
III. DISCUSSION
In this diversity case, the court applies substantive state law to questions involving contract
interpretation. See Mackey v. Judy’s Foods, Inc., 867 F.2d 325, 328 (6th Cir. 1989). There is no
dispute in this case that Tennessee law applies, and, under Tennessee law, “[t]he question of the
extent of insurance coverage is a question of law involving the interpretation of contractual
language.” Clark v. Sputniks, LLC, 368 S.W.3d 431, 441 (Tenn. 2012). When the language of an
insurance policy is clear and unambiguous, the court is bound to give effect to that language. Id.
at 441. Under Tennessee law, the court should read an insurance contract as a layperson would
read it. Paul v. Ins. Co. of N. Am., 675 S.W.2d 481, 484 (Tenn. Ct. App. 1984). “Where an all-risk
insurance policy is involved, the insurer must show that an exclusion applies in order to avoid
liability, and exclusionary clauses are to be strictly construed against the insurer.” Davidson Hotel
Co. v. St. Paul Fire & Marine Ins. Co., 136 F. Supp. 2d 901, 905 (W.D. Tenn. 2001) (citations
omitted).
The defendant basically makes three arguments in support of its Motion to Dismiss: (1) the
Virus Exclusion Clause precludes recovery under the Policy altogether, even if the plaintiff’s
claims otherwise fell within the scope of covered claims; (2) even if the Virus Exclusion Clause
does not apply, the plaintiff does not plausibly allege that it suffered “direct physical loss of or
damage to property,” as required for Business Income Clause; and (3) the plaintiff fails to allege
that the closure orders actually had the effect of prohibiting access to the plaintiff’s restaurant, as
required by the Civil Authority Clause. The court finds that all of the defendant’s arguments have
merit.
A. The Virus Exclusion Clause
As set forth above, the Policy excludes coverage for “loss or damage caused by or resulting
from any virus . . . or other microorganism that induces or is capable of inducing physical distress,
illness or disease.” (Doc. No. 1-2, at 80.) Even if the plaintiff could show that it suffered covered
losses under either the Business Income Clause or the Civil Authority Clause, the Virus Exclusion
Clause precludes coverage. This exclusion extends to “all coverage and endorsements” under the
Policy, specifically including the endorsements covering property damage to buildings and those
that cover “business income, extra expense or action of civil authority.” (Id.)
The plaintiff insists that the exclusion does not apply here, because the restaurant’s
“business interruption” was not actually caused by the virus, since no employee or patron was ever
known to test positive, and there is no “indication that the virus was present on the property.” (Doc.
No. 15, at 18.) Rather, its losses were caused by the closure orders. The defendant argues that there
is no dispute that the closure orders “stemmed from the COVID-19 pandemic” (see Compl. ¶ 61)
and were intended to disrupt the spread of the virus and, thus, that the virus is the true cause of the
plaintiff’s loss.
Numerous courts presented with the question have held that similar exclusions bar
coverage for business losses stemming from closures implemented for the purpose of attempting
to mitigate the spread of the coronavirus. For instance, the Eastern District of Michigan addressed
a policy exclusion barring coverage for loss that would not have occurred but for some “[v]irus,
bacteria or other microorganism that induces or is capable of inducing physical distress, illness, or
disease.” Turek Enters., Inc. v. State Farm Mut. Auto. Ins. Co., No. 20-11655, 2020 WL 5258484,
at *8 (E.D. Mich. Sept. 3, 2020). The plaintiff there, like the plaintiff here, argued that the virus
exclusion did not apply, because its business loss was due, not to COVID-19, but to a closure
order. The court was not persuaded:
Plaintiff’s contention that the Order was the “sole, direct, and only proximate
cause” of Plaintiff’s losses is refuted by the Order itself. The Order expressly states
that it was issued to “suppress the spread of COVID-19” and accompanying public
health risks. The only reasonable conclusion is that the Order—and, by extension,
Plaintiff’s business interruption losses—would not have occurred but for COVID-
19. Plaintiff is therefore wrong to suggest that “whether the reason for the [Order]
was preventing the spread of a virus or an asteroid spreading magic dust is
irrelevant.” If it were the latter, the Virus Exclusion would not apply.
Id. (internal record citations omitted); accord Newchops Rest. Comcast LLC v. Admiral Indem.
Co., Nos. 20-1869, 20-1869, 2020 WL 7395153, at *8 (E.D. Pa. Dec. 17, 2020) (“In an attempt to
circumvent this exclusion, the insureds argue that the cause of their losses and damages is the
shutdown orders, not the COVID-19 virus. This effort fails.”); Mauricio Martinez, DMD, P.A. v.
Allied Ins. Co. of Am., No. 220CV00401FTM66NPM, 2020 WL 5240218, at *2 (M.D. Fla. Sept.
2, 2020) (where the policy at issue contained an exclusion for loss or damage caused “directly or
indirectly,” by “[a]ny virus, bacterium or other microorganism that induces or is capable of
inducing physical distress, illness or disease,” holding that, because the plaintiff dental practice’s
damages “resulted from COVID-19, which is clearly a virus, neither the Governor’s executive
order narrowing dental services to only emergency procedures nor the disinfection of the dental
office of the virus is a ‘Covered Cause of Loss’ under the plain language of the policy’s
exclusion”); Franklin EWC, Inc. v. Hartford Fin. Servs. Grp., Inc., No. 20-CV-04434 JSC, 2020
WL 5642483, at *2 (N.D. Cal. Sept. 22, 2020) (“Thus, as the loss was caused directly or indirectly
by the virus, the Virus Exclusion applies under its plain and unambiguous language. . . . [U]nder
Plaintiffs’ theory, the loss is created by the Closure Orders rather than the virus, and therefore the
Virus Exclusion does not apply. Nonsense.”).
The plaintiff has located only one case holding to the contrary: Urogynecology Specialist
of Florida LLC v. Sentinel Ins. Co., Ltd., No. 6:20-cv-1174-Orl-22EJK, 2020 WL 5939172 (M.D.
Fla. Sept. 24, 2020). In that case, the court denied the defendant insurance company’s motion to
dismiss the plaintiff’s COVID-related breach of policy claims, finding that “several arguably
ambiguous aspects of the Policy make determination of coverage inappropriate at this stage,”
particularly because certain “forms” referenced in the exclusion for loss caused by a “virus” were
not included in the policy or provided to the court. Id. at *4. The court concluded that it could not
construe the policy as a matter of law in the absence of those forms. Id.
The same considerations do not apply here, where the defendant produced the entire Policy
with its Motion to Dismiss, and the plaintiff does not contend that any exclusions set forth in the
Policy are modified by forms that have not been produced to the court. The court finds that the
clear and unambiguous language of the Virus Exclusion Clause precludes coverage of the
plaintiff’s claims. The language of the closure orders establishes that the orders would not have
been issued were it not for the threat posed by the coronavirus, which is indisputably a virus. The
plaintiff’s loss thus “result[ed] from” the coronavirus, and the Virus Exclusion Clause applies.
The plaintiff attempts to avoid this conclusion by arguing that the doctrine of regulatory
estoppel bars enforcement of the Virus Exclusion Clause. The plaintiff acknowledges that no
Tennessee court has adopted the doctrine of regulatory estoppel. Tennessee courts have long held,
however, that extrinsic evidence may not be introduced to modify the terms of an unambiguous
contract. See, e.g., Indiv. Healthcare Specialists, Inc. v. BlueCross BlueShield of Tenn., Inc., 566
S.W.3d 671, 697 (Tenn. 2019) (holding that extrinsic evidence “may not be used to vary,
contradict, or supplement the contractual terms in violation of the parol evidence rule”). The Sixth
Circuit has declined to apply regulatory estoppel based on Kentucky law, which likewise does not
allow the admission of extrinsic evidence to “vary the terms of an unambiguous contract.”
Transam. Ins. Co. v. Duro Bag Mfg. Co., 50 F.3d 370, 373 (6th Cir. 1995) (citing J. Walter Wright
Lumber Co. v. Red Bird Timber Corp., 379 S.W.2d 721, 723 (Ky. 1964)).
In Duro Bag, the insured argued that the insurer should be estopped from relying on a
“pollution exclusion clause because the insurance industry deliberately misrepresented the
meaning of that clause to state regulators.” Id. The Sixth Circuit stated: “Because we have
concluded that the language of the policy is unambiguous, we decline to go behind the face of the
policy and examine its drafting history.” Id. The plaintiff here makes an identical argument: that
the insurance industry as a whole misrepresented the meaning of virus exclusion clauses, during a
nationwide effort in 2006 to obtain state insurance regulators’ approval of the virus exclusion
clauses. (Compl. ¶¶ 51–56.) This court likewise declines to “go behind the face” of the Policy at
issue here, where the Virus Exclusion Clause is unambiguous, and Tennessee law does not permit
the introduction of extrinsic evidence under these circumstances.
The plaintiff also alleges in the Complaint that the defendant should be estopped from
enforcing the Virus Exclusion Clause as a matter of “general public policy,” without further
explaining or supporting this position. (Compl. ¶ 50.) Admiral does not address public policy in
its Memorandum, and the plaintiff, in its Response, asserts simply: “Defendant . . . does not address
the allegations that the purported exclusion is also against public policy.” (Doc. No. 16, at 20.) It
provides no legal argument, in either the Complaint or its Response, as to why the Virus Exclusion
Clause violates public policy. However, as the defendant points out in its Reply (Doc. No. 19, at
10 n.5), Tennessee courts have held that “‘clearly worded exclusion[s]’ that limit, but do not
completely negate, other general provisions within a policy, are not contrary to public policy.”
Setters v. Permanent Gen. Assur. Corp., 937 S.W.2d 950, 952 (Tenn. Ct. App. 1996) (citing Beef
N’ Bird of Am., Inc. v. Continental Cas. Co., 803 S.W.2d 234, 237 (Tenn. Ct. App. 1990)). The
Virus Exclusion Clause does not negate the general coverage provided by the Policy and does not
violate Tennessee public policy.
Because the Virus Exclusion Clause clearly precludes coverage for the business losses
incurred by Adele’s, the defendant is entitled to judgment in its favor as a matter of law on both
the breach of contract claim and the claim for declaratory relief, which itself would require a
finding that the defendant breached the Policy by denying relief.
B. The Business Income Clause
Even if the Virus Exclusion Clause did not apply, the court also finds that the plaintiff’s
claim falls outside the terms of the Business Income Clause of the Policy, which expressly provides
coverage only for “direct physical loss of or damage to Covered Property” at the plaintiff’s
premises “caused by or resulting from any Covered Cause of Loss.” (Doc. No. 11-1, at 30.) More
specifically, the defendant agreed to
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 [covered by the Policy]. The loss or damage must be caused by or result
from a Covered Cause of Loss . . . .
(Id. at 57 (emphasis added).) The plaintiff cannot show that the closure orders—or the coronavirus
itself—caused “direct physical loss of or damage to Covered Property.” (Id. at 30.)
The plaintiff argues that the Policy does not define the terms “physical,” “loss of,” or
“damage to” and that, under Tennessee law, the court must interpret these terms “fairly and
reasonably, giving the language its usual and ordinary meaning.” (Id. at 6 (quoting Travelers
Indem. Co. of Am. v. Moore & Assocs., Inc., 216 S.W.3d 302, 306 (Tenn. 2007)).) Quoting various
dictionary definitions, which are not contested, the plaintiff posits that “physical” generally means
to have an objective, material, perceptible existence, as opposed to imaginary, fictitious, or
pertaining to the imagination, soul, or emotions. (Id. at7 (citations omitted).) It also points out that
dictionaries define “loss” and “damage” to include both physical damage to property as well as
the loss of use or income and reduction in value, usefulness or normal function. (Id. (citations
omitted).)
From there, its argument becomes more vague and even less convincing. It contends,
without explanation, that it has adequately “alleged that its property has suffered physical damage
and loss in all forms, including alteration to its structure, composition, or form and loss of access,
loss of use, and loss of functionality.” (Id. at 8 (citing Compl. ¶ 41).) In the referenced paragraph
of the Complaint, Adele’s alleges that “[t]he continuous presence of the coronavirus on or around
Plaintiff’s premises rendered the premises unsafe, uninhabitable, and substantially unsuited for its
intended use and, therefore, caused physical property damage or loss under the Policy.” (Compl.
¶ 41.) Elsewhere, however, the plaintiff itself effectively concedes that the virus did not cause
direct physical loss or damage, since, as it argues, no employee or patron of the restaurant tested
positive for coronavirus, and “there is no indication that the virus was present on the property.”
(Doc. No. 16, at 18.)
Regardless, those courts that have considered a similar argument have almost unanimously
rejected it. In particular, a recent opinion from the Eastern District of Pennsylvania, addressing
claims against Admiral under an identically worded policy, found as follows:
Admiral contends that the insureds must allege some distinct, demonstrable,
physical alteration of the insured properties . . . to satisfy the “damage to property”
requirement. It argues that the policy covers only tangible, physical damage, such
as a structural change, not economic damage. Citing the “physical loss of or damage
to property” language appearing only in the business income provision, the insureds
counter that a loss of functionality, usability or habitability is sufficient.
Property damage is “a distinct, demonstrable, physical alteration of the property.”
10A Couch on Ins. § 148.46 (3d ed. 1995) (citations omitted). Pure economic losses
are intangible and do not constitute property damage. 9A Couch on Ins. § 129.7.
Reading the . . . business income provisions in the context of the entire policy, we
conclude that the damage must be physical. . . .
The business income provision covers losses sustained by the suspension of
operations during the “period of restoration.” This term is given special meaning in
the policy. It is defined as ending “when the property . . . should be repaired, rebuilt
or replaced.” This definition informs that the loss or damage to the property must
be physical, affecting the structure of the property. It speaks to the time to “repair,
rebuild or replace” the property, terms connoting structure.
There was no physical damage to the insureds[’] properties alleged in the amended
complaints. Thus, because they have not alleged facts showing . . . “a direct physical
loss of or damage to” their own properties, the insureds have not established
coverage under the civil authority or the business income provisions.
Newchops Rest., 2020 WL 7395153, at *4–5 (internal citations and footnotes omitted).
Similarly, in Turek Enterprises, the plaintiff argued that the term “‘physical loss to Covered
Property’ includes the inability to use Covered Property.” 2020 WL 5258484, at *6. The court
acknowledged that this interpretation might be “consistent with one definition of ‘loss’” but that
such an interpretation would
ultimately render[] the word “to” meaningless. “To” is used here as a preposition
indicating contact between two nouns, “direct physical loss” and “Covered
Property.” Accordingly, the plain meaning of “direct physical loss to Covered
Property” requires that there be a loss to Covered Property; and not just any loss, a
direct physical loss.
Id. (footnotes and citations omitted; emphasis in original).
The court agrees with both of these assessments, and both apply equally well here, even
though the Policy uses the preposition “of” (“loss of”) instead of “to.” The plaintiff has certainly
suffered economic loss, but it is unable to show that it has suffered “direct physical loss of or
damage to” the premises or property covered by the Policy. Consequently, its reliance on Studio
417, Inc. v. Cincinnati Insurance Co., No. 20-cv-03127-SRB, 2020 WL 4692385 (W.D. Mo. Aug.
12, 2020) (Bough, J.) (and other opinions issued by the same judge) is unpersuasive.
In Studio 417, the plaintiffs also alleged business interruption losses arising from
coronavirus-related closure orders that their insurer refused to compensate. The court denied the
defendant’s motion to dismiss, finding that the plaintiffs had “adequately alleged a direct physical
loss.” Id. at *4. Studio 417 is distinguishable from this case, because the policy in that case covered
losses arising from “accidental physical loss or accidental physical damage to property.” Id. at *5
(emphasis original). According to the court, the defendant’s insistence on a showing of tangible
damage “conflat[ed] ‘loss’ and ‘damage’” and was inconsistent with “giv[ing] meaning to both
terms.” Id. Moreover, the plaintiffs “plausibly alleged that COVID-19 particles attached to and
damaged their property.” Id. at *6. By contrast, in this case, Adele’s specifically asserts that “there
is no indication that the virus was present on the property” (Doc. No. 16, at 18), and Admiral’s
proposed interpretation would not make the phrase “direct physical loss” redundant. The analysis
in Studio 417 has no application here.
The plaintiff’s reliance on Southeast Mental Health Center, Inc. v. Pacific Insurance Co.,
439 F. Supp. 2d 831, 837 (W.D. Tenn. 2006), is similarly unavailing. Based on that case, the
plaintiff claims that, under Tennessee law, “a loss of functionality” constitutes “physical damage.”
(Doc. No. 16, at 8.) The plaintiff in that case was a non-profit facility that provided outpatient
mental health services and substance abuse treatment. It suffered business interruption of several
weeks and consequent economic losses due to storm-related electrical and telephone outages; it
also alleged that the power outage “damaged its pharmacy computer . . . which resulted in the loss
of data from the computer” and rendered it unable to fill patients’ prescriptions, thus also causing
loss. Se. Mental Health Ctr., 439 F. Supp. 2d at 833. The policy at issue in that case, like the Policy
here, provided coverage for necessary suspension of business operations “caused by direct physical
loss of or damage to property at the [covered] premises.” Id. at 836. The court held that “the words
‘direct physical’ modify both ‘loss of’ and ‘damage to.’” Id. at 837. Although the power outage
clearly caused business interruption and thus economic loss, it was also undisputed that “the
electrical and telephone outages were caused by damage to power and utility lines that were not
located on Plaintiff’s property.” Id. at 837. The court held that “the power outage therefore does
not constitute ‘direct physical loss of or damage to’ Plaintiff’s property.” Id. at 837.
On the other hand, the court also found that “corruption of the pharmacy computer” caused
by the power outage did “constitute[] ‘direct physical loss of or damage to property.’” Id. at 838.
Specifically with respect to the damage to the computer—a physical object on the covered
premises—the court held that the term “‘physical damage’ is not restricted to the physical
destruction or harm of computer circuitry but includes loss of access, loss of use, and loss of
functionality.” Id. (quoting Am. Guarantee & Liab. Ins. Co. v. Ingram Micro, Inc., No. CIV. 99-
185 TUC ACM, 2000 WL 726789, at *2 (D. Ariz. Apr. 18, 2000)). Notably, the court did not
apply the same reasoning to the plaintiff’s complete “loss of use” of its facility during the power
outage or the facility’s “loss of functionality” resulting from the power outage. Rather, loss of
functionality was considered to be physical damage only insofar as it related to a physical object
located on the covered premises. This case does not come to the plaintiff’s aid.
Although there is no dispute that the closure orders resulted in suspension of Adele’s
business operations, such suspension was not “caused by direct physical loss of or damage to
property at [the covered] premises.” (Doc. No. 11-1, at 57.) Consequently, Adele’s loss is not
covered by the Business Income Clause.
C. Civil Authority Clause
Finally, Adele’s also argues that its loss is covered by the Civil Authority Clause, because
its loss is the “‘direct’ result of the governmental orders which rendered Adele’s property unusable
for its intended purpose.” (Doc. No. 16, at 8.) More specifically, it claims that it suffered a
“physical loss of covered property including loss of access, use and functionality of the dining area
for its intended purposes.” (Id.) The cases to which it cites in support of this argument all involve
some physical damage to the covered property, including landslides, pooling gasoline, and
asbestos fibers rendering the structure uninhabitable. (See id. at 9–10.2) It also cites to Southeast
Mental Health Center, again for the proposition that “a loss of functionality” constitutes “physical
damage,” a premise the court has already rejected. None of these cases supports the conclusion
that the plaintiff’s loss in this case is covered by the Civil Authority Clause.
More specifically, in order for the Civil Authority Clause to apply,
2 See Hughes v. Potomac Ins., 18 Cal. Rptr. 650 (Cal. Ct. App. 1962) (landslide); W. Fire
Ins. v. First Presbyterian Church, 437 P.2d 52 (Colo. 1968) (pooling gasoline under and around
structure); Sentinel Mgmt. Co. v. New Hampshire Co., 563 N.W.2d 296 (Minn. Ct. App. 1997)
(contamination of structure due to asbestos fibers).
(1) a “Covered Cause of Loss” must cause “damage to property other than property
at the [covered] premises,” which
(2) results in “action by civil authority,” and
(3) “[a]ccess to the area immediately surrounding the damaged property is
prohibited by civil authority as a result of the damage, and the [covered] premises
are within that area but not more than one mile from the damaged property,” and
(4) “action of civil authority is taken in response to dangerous physical conditions
resulting from the damage or continuation of the Covered Cause of Loss that caused
the damage, or the action is taken to enable a civil authority to have unimpeded
access to the damaged property.”
(Doc. No. 11-1, at 58.)
The plaintiff’s arguments notwithstanding, this provision does not apply, because (1) the
coronavirus did not cause property damage, meaning actual physical damage, and the Complaint
does not actually even allege property damage to some neighboring property; (2) the closure
orders, which certainly constitute “action by civil authority,” were issued to control the spread of
the coronavirus by limiting close human interaction, not because of “dangerous physical
conditions” at a neighboring property—and, again, the plaintiff does not allege an actual case of
“dangerous physical conditions” at another location; and (3) the closure orders did not prohibit
physical access to the plaintiff’s restaurant or the area around it. The most natural reading of
“access,” in this context, is physical access, not simply being closed to the public. The plaintiff
does not allege that it was ever physically unable to access the restaurant.
Thus, the plaintiff’s loss would not be covered by this provision, even if the Virus
Exclusion Clause did not apply.
IV. CONCLUSION
For the reasons set forth herein, the court will grant the Motion to Dismiss.
The plaintiff requests that, if the court is inclined to grant the motion, it be granted leave to
amend the Complaint, particularly to enable it to “more completely set out the doctrine” of
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regulatory estoppel and the facts relating to its “other causes of action.” (Doc. No. 16, at 20.) The
court construes this as a request that the dismissal of the claims be without prejudice rather than
with prejudice.
Because the court finds as a matter of law that the doctrine of regulatory estoppel does not
apply, additional pleading would not salvage the claim. Likewise, because the conclusion that the
plaintiff’ s causes of action for breach of contract and for a declaratory judgment fail as a matter of
law based on the plain language of the Policy, further amendment of the factual allegations or
clarification of the causes of action would not enable the claims to proceed. The dismissal of the
Complaint, therefore, will be with prejudice. An appropriate Order is filed herewith.
United States District Judge