Apple Annie, LLC v. Oregon Mutual Ins. Co.

CourtCalifornia Court of Appeal
DecidedSeptember 2, 2022
DocketA163300
StatusPublished

This text of Apple Annie, LLC v. Oregon Mutual Ins. Co. (Apple Annie, LLC v. Oregon Mutual Ins. Co.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Apple Annie, LLC v. Oregon Mutual Ins. Co., (Cal. Ct. App. 2022).

Opinion

Filed 9/2/22 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION TWO

APPLE ANNIE, LLC, Plaintiff and Appellant, A163300 v. OREGON MUTUAL (San Francisco County INSURANCE COMPANY, Super. Ct. No. CGC-20- 585712) Defendant and Respondent.

The COVID pandemic and ensuing lockdown have generated a host of legal issues. One of the most momentous, in terms of the potential monetary liability, is whether businesses ordered by government decree to close or suspend operations could get compensation under the business income coverage of the standard comprehensive commercial liability policy. The issue has generated opinions from different Courts of Appeal, all of which have held that the issue comes down to whether the insured can allege it suffered “direct physical loss of or damage to [the insured] property.” Having lost in the trial court, the insured here tells us “this appeal can be viewed as a referendum on whether [those] decisions were correctly decided.” We conclude that they were, add our agreement with the other cases, and thus affirm the judgment on the pleadings for the insurer.

1 BACKGROUND At all relevant times, plaintiff Apple Annie, LLC, operated restaurants in Marin, San Francisco, and Santa Barbara counties. Defendant Oregon Mutual Insurance Company issued Apple Annie a comprehensive commercial liability and property insurance policy that, as relevant here, promised in general to “pay for direct physical loss of or damage to Covered Property at the [insured] premises,” and in particular to “pay for the actual loss of Business Income you sustain due to the necessary suspension of your ‘operations’ during the ‘period of restoration.[1]. The suspension must be caused by direct physical loss of or damage to property at the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.” The policy did not define “direct physical loss of or damage.” The policy included two provisions that will have only glancing provisions relevant to our analysis and conclusion.2

1 “ ‘Period of restoration’: [¶] a. Means the period of time that: [¶] (1) Begins: [¶] (a) 72 hours after the time of direct physical loss or damage for Business Income Coverage; or [¶] (b) immediately after the time of direct physical loss or damage for Extra Expense Coverage; [¶] caused by or resulting from any Covered Cause of Loss at the described premises, and [¶] (2) Ends on the earlier of: [¶] (a) The date when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality; or [¶] (b) The date when business is resumed at a new permanent location. [¶] b. Does not include any increased period required due to the enforcement of any ordinance or law that: [¶] (1) Regulates the construction, use or repair, or requires the tearing down of any property . . . .” 2 This first, an exclusion, provides that “We will not pay for loss or damage caused directly or indirectly by any of the following. . . . . [¶] Ordinance Or Law [¶] The enforcement of any ordinance or law: [¶] Regulating the construction, use, or repair of any property . . . . [¶] This exclusion . . . applies whether the loss results from: [¶] An ordinance or law that is enforced even if the property has not been damaged . . . . ” It is black- letter insurance law that exclusions are only considered after it is established 2 According to Apple Annie’s complaint, in March 2020, first the Marin and San Francisco Departments of Public Health, and then the Governor, issued “Shelter in Place orders,”3 which Apple Annie alleged “caused [it] to suspend business operations at all its locations, which resulted in an immediate loss of business income.”4 Oregon Mutual denied Apple Annie’s claim for its “business income loss.”

that coverage exists under the policy. (E.g., Waller v. Truck Ins. Exchange, Inc. (1995) 11 Cal.4th 1, 16 (Waller); Rosen v. Nations Title Ins. Co.(1997) 56 Cal.App.4th 1489, 1497; Hallmark Ins. Co. v. Superior Court (1988) 201 Cal.App.3d 1014, 1017.) This policy language is mentioned only because it will be of assistance in demonstrating why there is no coverage here. The second is a provision that Oregon Mutual would pay for “the actual loss of Business Income . . . caused by action of civil authority that prohibits access to the described premises.” This provision was also pegged to “direct physical loss of or damage to property.” Although this particular provision features in some of the decisions discussed hereafter, it was not invoked here. 3 Apple Annie attached only the Governor’s March 19, 2020 order to its complaint. Oregon Mutual asked the trial court to take judicial notice of the Governor’s order, plus another made on March 4, 2020, and the closure orders of the relevant health authorities in Marin and San Francisco counties, but no ruling appears in the record. Oregon Mutual renewed the request in this court, which Apple Annie did not oppose. Having already granted the motion with respect to the Governor’s orders, and the Marin and San Francisco orders, we now grant it as to the relevant orders by the Health Officer of the Santa Barbara County Public Health Department, dated April 10 and April 24, 2020. 4As will be noted in a moment, this cause concluded in the trial court when Oregon Mutual’s motion for judgment on the pleadings was granted without leave to amend. Such a procedure is the functional equivalent of a general demurrer and is evaluated according to identical standards, the most important of which is that the pleader’s factual allegations are accepted as true. (Angelucci v. Century Supper Club (2007) 41 Cal.4th 160, 165; Smiley v. Citibank (1995) 11 Cal.4th 138, 145−146.) We mention this for two reasons. First, Oregon Mutual states in its brief that, notwithstanding the orders, “Apple Annie could [still] sell meals for takeout or delivery, but 3 Apple Annie’s action for breach of contract damages ended when the trial court granted Oregon Mutual’s motion for judgment on the pleadings and entered a judgment in its favor. DISCUSSION Apple Annie’s opening brief was filed on November 16, 2021. It deployed cogent reasoning and analyzed a veritable mountain of authorities—published and unpublished, state and federal—on the issue of coverage. The very same day, November 16, Division One of the Fourth District Court of Appeal filed its opinion in Inns-by-the-Sea v. California Mutual Ins. Co. (2021) 71 Cal.App.5th 688 (review denied Mar, 9, 2022, S272450) (Inns- by-the-Sea). Noting that “hundreds of merit-based rulings have been issued in both state and federal courts,” the court then summarized: “The overwhelming majority of federal district court cases find no possibility of coverage under commercial property insurance policies for a business’s pandemic-related loss of income [citations], along with each federal appellate court to consider the issue [citations], including the Ninth Circuit applying

customers could not sit and eat in its restaurants,” and its business was merely “impeded.” However, the words “take-out,” “deliver,” or “delivery” are used in some of the closure orders. Accordingly, we take Apple Annie’s allegation that it “suspend[ed] business operations at all its locations” to mean that all normal business activity of serving dining patrons in situ ceased in the wake of the closure orders. Second, all of the Courts of Appeal decisions discussed here involved general demurrers. One consequence of this common posture is that the reviewing courts were often considering scenarios and arguments based upon the specific allegations of the insured’s complaint against the insurer. No such individualized arguments are made here.

4 California law (Mudpie, Inc. v. Travelers Casualty Ins. Co. of America (9th Cir.

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Bluebook (online)
Apple Annie, LLC v. Oregon Mutual Ins. Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/apple-annie-llc-v-oregon-mutual-ins-co-calctapp-2022.