Barbizon School of San Francisco, Inc. INC. v. Sentinel Insurance Company Ltd

District Court, N.D. California·Decided March 31, 2021·No. 3:20-cv-08578·Unknown

Opinion

BARBIZON SCHOOL OF SAN Case No. 20-cv-08578-TSH FRANCISCO, INC., et al., Plaintiffs, ORDER GRANTING MOTION TO v. Re: Dkt. No. 8 SENTINEL INSURANCE COMPANY

Defendant.

Plaintiffs Barbizon School Of San Francisco, Inc. and Barbizon School of Modeling Of Manhattan, Inc. bring this action against their insurance company, Defendant Sentinel Insurance Company, LTD., seeking coverage for economic losses to their businesses caused by COVID-19. Pending before the Court is Sentinel’s Motion to Dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). ECF No. 8. Plaintiffs filed an Opposition (ECF No. 19) and Sentinel filed a Reply (ECF No. 22). The Court finds this matter suitable for disposition without oral argument and VACATES the April 1, 2021 hearing. See Civ. L.R. 7-1(b). Having considered the parties’ positions, relevant legal authority, and the record in this case, the Court GRANTS Sentinel’s motion for the following reasons. Plaintiffs are independently owned and operated licensees of Barbizon International, Inc., offering modeling, acting, and studio services at locations in New York City (Barbizon-NY) and on the West Coast (Barbizon-West). Compl. ¶ 10, ECF No. 1. A. The West Coast Policy Barbizon-West procured insurance coverage under Policy Number 57 SBA UZ9898 for the policy period July 8, 2019, through July 8, 2020. The West Coast Policy was issued as of April 19, 2019. Id. ¶ 11. The basic coverage provisions of the policy are written on the “Special Property Coverage Form,” Form SS 00 07 07 05, which states:

We will pay for direct physical loss of or physical damage to Covered Property at the premises described in the Declarations (also called "scheduled premises" in this policy) caused by or resulting from a Covered Cause of Loss. Id. ¶ 12. “Covered Property” under the Special Property Coverage Form includes the “building(s) and structure(s) described in the Declarations,” Special Property Coverage Form, A(1)(a). Id. ¶ 13. Under the Special Property Coverage Form in the West Coast policy “Covered Cause of Loss” is defined as follows:

B. 3. Covered Causes of Loss

RISKS OF DIRECT PHYSICAL LOSS unless the loss is:

a. Excluded in Section B., EXCLUSIONS; or b. Limited in Paragraph A.4. Limitations; that follow. Id. ¶ 15. “Section B., EXCLUSIONS” of the Special Property Coverage Form,” Form SS 00 07 07 05, for the West Coast Policy does not itself have a virus exclusion. An exclusion was, however, added to “Section B., EXCLUSIONS” of the West Coast Policy through a “LIMITED FUNGI, BACTERIA OR VIRUS COVERAGE” Endorsement, Form SS 40 93 07 05. Id. ¶ 16. One portion of the virus endorsement removes all virus coverage from the Special Property Coverage Form by adding an exclusion to Section B of the Special Property Coverage Form:

2. The following exclusion is added to Paragraph B.1. Exclusions of the … Special Property Coverage Form…: i. “Fungi”, Wet Rot, Dry Rot, Bacteria And Virus We will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded regardless of (1) Presence, growth, proliferation, spread or any activity of “fungi”, wet rot, dry rot, bacteria or virus. (2) But if “fungi”, wet rot, dry rot, bacteria or virus results in a "specified cause of loss" to Covered Property, we will pay for the loss or damage caused by that “specified cause of loss”. This exclusion does not apply: (1) When “fungi”, wet or dry rot, bacteria or virus results from fire or lightning; or

(2) To the extent that coverage is provided in the Additional Coverage – Limited Coverage for “Fungi”, Wet Rot, Dry Rot, Bacteria and Virus with respect to loss or damage by a cause of loss other than fire or lightning. This exclusion applies whether or not the loss event results in widespread damage or affects a substantial area. Id. 18. The virus endorsement then adds some very limited virus coverage:

b. We will pay for loss or damage by “fungi”, wet rot, dry rot, bacteria and virus. As used in this Limited Coverage, the term loss or damage means:

(1) Direct physical loss or direct physical damage to Covered Property caused by "fungi", wet rot, dry rot, bacteria or virus, including the cost of removal of the “fungi”, wet rot, dry rot, bacteria or virus;

(2) The cost to tear out and replace any part of the building or other property as needed to gain access to the “fungi”, wet rot, dry rot, bacteria or virus; and

(3) The cost of testing performed after removal, repair, replacement or restoration of the damaged property is completed, provided there is a reason to believe that “fungi”, wet rot, dry rot, bacteria or virus are present. Id. ¶ 19. That limited virus coverage is limited further by the requirement that, for coverage to apply, the loss must be due to a limited number of things. The coverage is restricted by this language: a. The coverage described in 1.b. below only applies when the “fungi”, wet or dry rot, bacteria or virus is the result of one or more of the following causes that occurs during the policy period and only if all reasonable means were used to save and preserve the property from further damage at the time of and after that occurrence. (1) A “specified cause of loss” other than fire or lightning; 19. “Specified Cause of Loss” means the following: Fire; lightning; explosion, windstorm or hail; smoke; aircraft or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment; sinkhole collapse; volcanic action; falling objects; weight of snow, ice or sleet; water damage. Id. ¶ 21. As a result, the virus endorsement states that Sentinel will pay for “[d]irect physical loss or direct physical damage to Covered Property caused by . . . virus,” provided that such “direct physical loss or direct physical damage” is caused by a virus that “is the result of” “explosion, windstorm or hail; smoke; aircraft or vehicles; riot or civil commotion; vandalism; leakage from fire extinguishing equipment; sinkhole collapse; volcanic action; falling objects; weight of snow, ice or sleet; water damage.” Id. ¶ 22. B. The New York Policy Barbizon-NY procured insurance coverage under Policy Number 57 SBA BG9898 for the policy period September 14, 2019, through September 14, 2020. The New York policy was issued as of July 3, 2019, almost three months after the West Coast policy. Id. ¶ 23. The New York policy, like the West Coast policy, is based upon “Special Property Coverage Form,” Form SS 00 07 07 05, which states:

We will pay for direct physical loss of or physical damage to Covered Property at the premises described in the Declarations (also called “scheduled premises” in this policy) caused by or resulting from a Covered Cause of Loss. Id. ¶ 24. The New York policy does not include the virus endorsement. Id. ¶¶ 26-27. Beginning on March 7, 2020, New York Governor Andrew Cuomo and New York City Mayor Bill DeBlasio issued a series of executive orders. Among other things, those executive orders, declared “a State disaster emergency for the entire State of New York,” closed all schools, and ultimately required the closure of non-essential businesses in New York City. Id. ¶¶ 35-41. The NY policy provides “Civil Authority Coverage” as follows:

q. Civil Authority

(1) This insurance is extended to apply to the actual loss of Business of a Covered Cause of Loss to property in the immediate area of your “scheduled premises”.

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Barbizon School of San Francisco, Inc. INC. v. Sentinel Insurance Company Ltd, (N.D. Cal. 2021).

Barbizon School of San Francisco, Inc. INC. v. Sentinel Insurance Company Ltd (Barbizon School of San Francisco, Inc. INC. v. Sentinel Insurance Company Ltd) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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