10012 Holdings, Inc. v. Sentinel Ins. Co.

21 F.4th 216
Court of Appeals for the Second Circuit·Decided December 27, 2021·No. 21-80-cv·Published·Cited by 83 cases

Opinion

21-80-cv 10012 Holdings, Inc. v. Sentinel Ins. Co.

1 UNITED STATES COURT OF APPEALS 2 FOR THE SECOND CIRCUIT 3 4 August Term, 2021 5 6 (Argued: September 2, 2021 Decided: December 27, 2021) 7 8 Docket No. 21-80-cv 9 10 _____________________________________ 11 12 10012 HOLDINGS, INC. DBA GUY HEPNER, 13 14 Plaintiff-Appellant, 15 16 v. 17 18 SENTINEL INSURANCE COMPANY, LTD., 19 20 Defendant-Appellee. * 21 _____________________________________ 22 23 Before: 24 25 WALKER, CALABRESI, and LOHIER, Circuit Judges. 26 27 10012 Holdings, Inc. d/b/a Guy Hepner, which owns and operates a 28 fine arts gallery and dealership in New York City, sought coverage under 29 three provisions of an insurance policy issued by Sentinel Insurance 30 Company, Ltd. for losses and extra expenses incurred when it suspended its 31 operations in accordance with government restrictions on non-essential 32 businesses during the COVID-19 pandemic. When Sentinel denied coverage, 33 10012 Holdings filed suit asserting claims for breach of contract and 34 declaratory judgment. The United States District Court for the Southern 35 District of New York (Schofield, J.) dismissed the claims with prejudice, and 36 10012 Holdings appealed. Under New York law, the policy provisions that 37 10012 Holdings invokes provide coverage only where the insured suspends

* The Clerk of Court is directed to amend the caption as set forth above.

1 its operations because its property or property in its immediate area suffered 2 physical damage. Because 10012 Holdings does not plausibly allege such 3 physical damage, we AFFIRM. 4 5 JOHN V. GOLASZEWSKI, The Casas Law Firm, P.C., 6 New York, NY, for Plaintiff-Appellant 10012 Holdings, 7 Inc. d/b/a Guy Hepner. 8 9 JONATHAN M. FREIMAN (Shai Silverman, on the brief), 10 Wiggin and Dana LLP, New Haven, CT, for 11 Defendant-Appellee Sentinel Insurance Company, Ltd. 12 13 Jeremy M. Creelan, Michael W. Ross, Jenner & Block 14 LLP, New York, NY; John H. Mathias, Jr., David M. 15 Kroeger, Gabriel K. Gillett, Jenner & Block LLP, 16 Chicago, IL, for Amici Curiae Restaurant Law Center, 17 New York State Restaurant Association, and New 18 York City Hospitality Alliance, in support of Plaintiff- 19 Appellant and reversal. 20 21 Joshua L. Mallin, Dennis D’Antonio, Weg & Myers, 22 P.C., New York, NY, for Amicus Curiae Mario 23 Badescu Skin Care, Inc., in support of Plaintiff- 24 Appellant and reversal. 25 26 Wystan M. Ackerman, Robinson & Cole LLP, 27 Hartford, CT; Laura A. Foggan, Crowell & Moring 28 LLP, Washington, DC; James R. Martin, Zelle LLP, 29 Washington, DC, for Amici Curiae American Property 30 Casualty Insurance Association and National 31 Association of Mutual Insurance Companies, in 32 support of Defendant-Appellee and affirmance. 33 34 LOHIER, Circuit Judge:

35 In a scenario that has become all too familiar during the COVID-19 36 pandemic, 10012 Holdings, Inc. d/b/a Guy Hepner, which operates as a brick- 37 and-mortar art gallery and dealership in New York City, was forced to

1 suspend its operations to comply with government restrictions on non- 2 essential businesses. As a result, 10012 Holdings could no longer sell 3 paintings at its gallery and resorted to online sales, with employees allowed 4 to access the gallery for routine business purposes such as packing and 5 shipping a painting purchased online. The company, which was insured 6 under a widely used business property insurance policy (the “Policy”) issued 7 by Sentinel Insurance Company, Ltd., sought coverage under the Policy for its 8 business income losses and expenses relating to the gallery’s closure. Sentinel 9 denied coverage on the ground that 10012 Holdings did not suffer direct 10 physical loss of or physical damage to its property or property within its 11 vicinity, as the Policy required. Invoking three provisions of the Policy, 10012 12 Holdings brought this action for breach of contract and a declaratory 13 judgment that Sentinel was liable for coverage of its COVID-19-related 14 business losses, claiming that the Policy’s references to “physical damage” or 15 “physical loss” include the loss of use of property as a result of the 16 suspension of business operations. The United States District Court for the 17 Southern District of New York (Schofield, J.), applying New York law, agreed

1 with Sentinel’s reason for denying coverage and dismissed 10012 Holdings’s 2 claims with prejudice under Federal Rule of Civil Procedure 12(b)(6). 3 For the reasons that follow, we AFFIRM. 4 BACKGROUND 5 The following facts are drawn from 10012 Holdings’s complaint and 6 documents attached thereto, and are assumed to be true for purposes of our 7 de novo review of the District Court’s judgment dismissing the complaint for 8 failure to state a claim upon which relief can be granted. See Schlosser v. 9 Kwak, 16 F.4th 1078, 1080 (2d Cir. 2021). 10 In 2019, 10012 Holdings purchased the Policy from Sentinel to cover the 11 period from April 1, 2019 through April 1, 2020. The Policy provides three 12 principal types of coverage relevant to this appeal: “Business Income,” “Extra 13 Expense,” and “Civil Authority.” The Business Income provision requires 14 Sentinel to cover certain business losses incurred if 10012 Holdings 15 suspended its operations due to “direct physical loss of or physical damage 16 to” its property “caused by or resulting from a Covered Cause of Loss.” Joint 17 App’x 83. The Policy defines “Covered Cause of Loss” as “risks of direct 18 physical loss” not otherwise excluded by the Policy. Joint App’x 75. The

1 Extra Expense provision, meanwhile, reimburses “reasonable and necessary 2 Extra Expense” incurred during a “period of restoration” of the premises 3 following “direct physical loss or physical damage to” 10012 Holdings’s 4 property “caused by or resulting from a Covered Cause of Loss.” Joint App’x 5 83. Finally, the Civil Authority provision extends coverage for business 6 income losses if access to 10012 Holdings’s premises “is specifically 7 prohibited by order of a civil authority as the direct result of a Covered Cause 8 of Loss to property in the immediate area of” 10012 Holdings’s premises. 9 Joint App’x 84. 10 Starting in March 2020, 10012 Holdings was forced to suspend business 11 operations at the art gallery in compliance with the now well-known 12 executive orders issued by the Governor of New York as the immediate 13 response to the COVID-19 pandemic. Relying on the Business Income, Extra 14 Expense, and Civil Authority provisions, 10012 Holdings demanded that 15 Sentinel reimburse it for the losses and expenses it incurred as a result of 16 suspending its operations. In a letter dated April 3, 2020, Sentinel disclaimed 17 coverage, asserting that “COVID-19 did not cause property damage at [10012 18 Holdings’s] place of business or in the immediate area.” Joint App’x 15.

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10012 Holdings, Inc. v. Sentinel Ins. Co., 21 F.4th 216 (2d Cir. 2021).

21 F.4th 216 (10012 Holdings, Inc. v. Sentinel Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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