Coast Restaurant Group, Inc. v. AmGUARD Insurance Company

CourtCalifornia Court of Appeal
DecidedApril 10, 2023
DocketG061040
StatusPublished

This text of Coast Restaurant Group, Inc. v. AmGUARD Insurance Company (Coast Restaurant Group, Inc. v. AmGUARD Insurance Company) 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
Coast Restaurant Group, Inc. v. AmGUARD Insurance Company, (Cal. Ct. App. 2023).

Opinion

Filed 4/10/23

CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FOURTH APPELLATE DISTRICT

DIVISION THREE

COAST RESTAURANT GROUP, INC.,

Plaintiff and Appellant, G061040

v. (Super. Ct. No. 30-2020-01153185)

AMGUARD INSURANCE COMPANY, OPINION

Defendant and Respondent.

Appeal from a judgment of the Superior Court of Orange County, Richard Y. Lee, Judge. Affirmed. Shernoff Bidart Echeverria, Michael J. Bidart, Ricardo Echeverria, Kristin Hobbs, and Reid Ehrlich-Quinn for Plaintiff and Appellant. United Policyholders, Covington & Burling, Sabrina T. McGraw, Rani Gupta and Richard Z. Lee, as Amicus Curiae, on behalf of Appellant. Simpson Thacher & Bartlett, Chet A. Kronenberg and Brooke Jarrett for Defendant and Respondent. * * * Coast Restaurant Group appeals from a judgment of dismissal following the trial court’s order sustaining respondent AmGUARD Insurance Company’s demurrer to the operative complaint without leave to amend. Appellant contends the court erred in sustaining the demurrer because it has shown that business income losses resulting from governmental orders prohibiting on-site dining at its restaurant due to the COVID-19 virus were covered under the relevant insurance policy. As explained below, we conclude appellant has shown there is potential coverage under the policy, but respondent has shown that an exclusion in the policy applies to preclude coverage as a matter of law. Accordingly, we affirm. I FACTUAL AND PROCEDURAL BACKGROUND A. First Amended Complaint On April 28, 2021, appellant filed a first amended complaint (FAC), alleging causes of action for breach of implied covenant of good faith and fair dealing 1 and breach of contract against respondent. The FAC alleged that appellant operates the Cedar Creek Inn, a restaurant in North Orange County, which offers a variety of fine food, an extensive wine list and craft beer, and live musical performances from Tuesday through Saturday. Appellant obtained business interruption insurance from respondent, covering the period from March 30, 2019 to March 30, 2021. Business interruption insurance “‘protects against the loss of income and other losses caused by an interruption to the normal operations of the business.’” The FAC further alleged that in January 2020, COVID-19, a coronavirus, was present in California, and on March 4, 2020, the Governor of California proclaimed a state of emergency “exist[ed] in California “‘as a result of the threat of COVID-19.’”” On March 17, 2020, the Orange County health officer issued an order that, among other 1 Appellant also alleged a negligence cause of action against its insurance broker, which is not at issue in this appeal.

2 things, “prohibited restaurants from serving food on their premises and prohibited all gatherings of people.” The next day, the county health officer issued an amended health order and uidance requiring “[a]ll restaurants and other business establishments that serve food shall close all onsite [sic] dining. Pickup, delivery and drive thru [sic] services may remain open. . . .” The FAC alleged the orders “forced [appellant] to shut its doors for in person dining and resulted in a loss of functional use of its premises and an interruption of its business.” The FAC alleged appellant submitted a claim for its business income loss. The FAC asserted that appellant “did not lose any business income as a result of virus contamination,” but rather its “losses of business income were caused by, and a direct result of, government stay-at-home orders in California.” However, respondent “abruptly, unreasonably and with a callous disregard for the interests of its insured, denied the claim in its entirety.” Respondent’s grounds for denying coverage were that appellant did not claim the property sustained any direct physical loss or damage and the virus exclusion under the policy would also bar coverage. The FAC alleged that respondent’s actions breached the insurance contract and the related implied covenant of good faith and fair dealing. The FAC attached a copy of the insurance policy. Under “Additional Coverages” for “Business Income,” the policy provides: ‘“[w]e [respondent] will pay for the actual loss of [b]usiness [i]ncome 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 the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.”’ The policy defines “suspension” of operations as the “partial slowdown or complete cessation of your business activities” and “[t]hat a part of or all of the described premises is rendered untenantable.” ‘“Period of restoration”’ is defined as beginning “72 hours after the time of direct physical loss or damage” and ending on the earlier of “(a) [t]he date when the

3 property at the described premises should be repaired, rebuilt, or replaced with reasonable speed and similar quality; or (b) [t]he date when business is resumed at a new permanent location.” The policy limits payment for business income loss on “[r]esumption [o]f [o]perations,” providing that business income loss will be reduced “to the extent you can resume your ‘operations’ in whole or in part, by using damaged or undamaged property (including merchandise or stock) at the described premises or elsewhere.” The policy defines “Covered Causes of Loss” as all “[r]isks of direct physical loss” except those specifically excluded in “Paragraph B. Exclusions in Section 1.” Section 1 provides: “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 any other cause or event that contributes concurrently or in any sequence to the loss. These exclusions apply whether or not the loss event results in widespread damage or affects a substantial area.” The relevant exclusions include: B.1.a.(1) “The enforcement of any ordinance or law: [¶] (a) Regulating the construction, use or repair of any property”; and B.1.j. (1) “Any virus, bacterium or other microorganism that induces or is capable of inducing physical distress, illness or disease.” Paragraph B, Section 2.b., provides that the insurer will not pay for loss or damage caused by “Consequential Losses,” which are defined as “[d]elay, loss of use or loss of market.” The FAC also attached the governmental orders restricting on-site gatherings at restaurants. The March 17, 2020 order states: “All restaurants and other business establishments that serve food shall close all on-site dining . . . All food served shall be by delivery, or through pick-up or drive-thru.” In Paragraph 4, the order states: “This Order is necessary to protect and preserve the public health from, and prevent, the increasing transmission of COVID-19 in California, and the significant risk of widespread introduction and transmission of COVID-19 into the County.” The March 18, 2020 amended order, restricted the service of food to “delivery, pick-up or drive[]through,” also provides that it was issued “to protect and preserve the public health

4 from, and prevent, the increasing transmission of COVID-19 in California, and the significant risk of widespread introduction and transmission of COVID-19 into the County.” B. Demurrer Respondent demurred to the FAC.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Asmus v. Pacific Bell
999 P.2d 71 (California Supreme Court, 2000)
State Farm Fire & Casualty Co. v. Von Der Lieth
820 P.2d 285 (California Supreme Court, 1991)
Finn v. Continental Insurance
218 Cal. App. 3d 69 (California Court of Appeal, 1990)
Forecast Homes, Inc. v. Steadfast Insurance
181 Cal. App. 4th 1466 (California Court of Appeal, 2010)
Roberts v. Assurance Co. of America
163 Cal. App. 4th 1398 (California Court of Appeal, 2008)
Chadwick v. Fire Insurance Exchange
17 Cal. App. 4th 1112 (California Court of Appeal, 1993)
American Alternative Insurance v. Superior Court
37 Cal. Rptr. 3d 918 (California Court of Appeal, 2006)
Scott v. Continental Insurance
44 Cal. App. 4th 24 (California Court of Appeal, 1996)
Jordan v. Allstate Insurance
11 Cal. Rptr. 3d 169 (California Court of Appeal, 2004)
MRI Healthcare Center of Glendale, Inc. v. State Farm General Insurance
187 Cal. App. 4th 766 (California Court of Appeal, 2010)
Minkler v. Safeco Insurance Co. of America
232 P.3d 612 (California Supreme Court, 2010)
Julian v. Hartford Underwriters Insurance
110 P.3d 903 (California Supreme Court, 2005)
City of Dinuba v. County of Tulare
161 P.3d 1168 (California Supreme Court, 2007)
Perkin v. San Diego Gas & Electric Co.
225 Cal. App. 4th 492 (California Court of Appeal, 2014)
People v. Hernandez
10 Cal. App. 5th 192 (California Court of Appeal, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
Coast Restaurant Group, Inc. v. AmGUARD Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/coast-restaurant-group-inc-v-amguard-insurance-company-calctapp-2023.