Gammon and Associates Inc. v. National Fire Insurance Company of Hartford

CourtDistrict Court, S.D. New York
DecidedAugust 31, 2021
Docket1:20-cv-03882
StatusUnknown

This text of Gammon and Associates Inc. v. National Fire Insurance Company of Hartford (Gammon and Associates Inc. v. National Fire Insurance Company of Hartford) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gammon and Associates Inc. v. National Fire Insurance Company of Hartford, (S.D.N.Y. 2021).

Opinion

PP ORLA SP apy tone Voge? = Oo CUMENT UNITED STATES DISTRICT COURT a bon CRONE a> oe. □ SOUTHERN DISTRICT OF NEW YORK ij 3 ie Pry 4 Te, oT □□□□□□ GAMMON AND ASSOCIATES INC., : nett emma □ □□ Plaintiff, : MEMORANDUM DECISION ; AND ORDER -against- : 20 Civ. 3882 (GBD) NATIONAL FIRE INSURANCE COMPANY OF : HARTFORD, : Defendant. :

GEORGE B. DANIELS, United States District Judge: Plaintiff Gammon and Associates Inc. brings this action against National Fire Insurance Company of Hartford (“NFIC’), seeking declaratory relief pursuant to 28 U.S.C. § 2201(a), alleging that the losses it sustained because of the COVID-19 pandemic are covered under the Business Income, Extra Expense and Civil Authority policy provisions. (See First Am. Compl. (“Complaint”), ECF No. 1.) Defendant moves to dismiss the Complaint for failure to state a claim pursuant to Federal Rule of Civil Procedure 12(b)(6), arguing that Plaintiff fails to plausibly plead that it is entitled to coverage under those provisions. (See Notice of Mot., ECF No. 40.) Defendant’s motion to dismiss is GRANTED. I. FACTUAL BACKGROUND Plaintiff operates a marketing and advertising agency with two office locations: New York, New York and Burbank, California. (Compl. 8.) NFIC, an Illinois insurance company, issued CNA Connect Policy No. 6021300920 to Plaintiff for the period of November 10, 2019 to November 10, 2020 (the “Policy”). Ud. § 14; Exhibit A, ECF No. 27-1.) As relevant here, the Policy provides property coverage that is set forth in the Businessowners Special Property

Coverage Form (Form SB-146801-I) with its declarations, endorsements, and exclusions. (Exhibit A, at 14-152.) The Business Income and Extra Expense coverage provides in relevant part: b. 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 the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss. * OK OK Ok

a. Extra Expense means reasonable and necessary expenses you incur during the “period of restoration” that you would not have incurred if there had been no direct physical loss of or damage to property caused by or resulting from a Covered Cause of Loss. b. We will pay Extra Expense (other than the expense to repair or replace property) to: (1) Avoid or minimize the “suspension” of business and to continue “operations” at the described premises or at replacement premises or temporary locations, including relocation expenses and costs to equip and operate the replacement premises or temporary locations; or (2) Minimize the “suspension” of business if you cannot continue “operations.” (Id. at 36 (emphasis added).) The Policy defines “Covered Causes of Loss” as “risks of direct physical loss” subject to various exclusions or limitations. (/d. at 15.) Suspension is defined in the Policy as “[t]he partial or complete cessation of [] business activities; or [t]hat a part or all of the described premises is rendered untenantable.” (/d. at 33.) The Policy also provides that the: “Period of restoration” means the period of time that: b. Begins with the date of direct physical loss or damage caused by or resulting from any Covered Cause of Loss at the described premises; and c. Ends on the earlier of:

(1) The date when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality; or (2) The date when business is resumed at a new permanent location. The Civil Authority coverage provides: 1. When the Declarations show that you have coverage for Business Income and Extra Expense, you may extend that insurance to apply to the actual loss of Business Income you sustain and reasonable and necessary Extra Expense you incur caused by action of civil authority that prohibits access to the described premises. The civil authority action must be due to direct physical loss of or damage to property at locations, other than described premises, caused by or resulting from a Covered Cause of Loss. (/d. at 60 (emphasis added).) In March 2020, New York Governor Andrew M. Cuomo and California Governor Gavin Newsom declared a state of emergency in their respective states in response to the COVID-19 pandemic. (Exhibit B, ECF No. 27-2, at 2; Exhibit F, ECF No. 27-6, at 2.) Thereafter, Governor Cuomo, on March 12, 2020, issued an executive order noting the continuing rise in documented COVID-19 cases and restricting large gatherings “to cope with the disaster.” (Exhibit C, ECF No. 27-3, at 5.) Then, on March 20, 2020, again noting the continued rise in COVID-19 cases, he required all businesses to “utilize ... any telecommuting or work from home procedures [and] reduce the in-person workforce at any work locations by 100%.” (Exhibit D, ECF No. 27-4, at 3; Exhibit E, ECF No. 27-5, at 2.) Similarly in California, Governor Gavin Newsom issued an order on March 19, 2020, “[t]o protect public health,” and directing “all [Californians] to stay at home or at their place of residence.” (Exhibit F (‘March 19 Order’), ECF No. 27-6, at 2-3.) While Governor Newsom later lifted those restrictions, Los Angeles Mayor Eric Garcetti, on June 20,

2020, directed “all businesses within the City of Los Angeles [] to cease operations that require in- person attendance by workers at a workplace.”! (Exhibit I, ECF No. 27-9, at 3.)* Plaintiff alleges that “‘as a result of COVID-19” and the Orders, it “completely ceased operations and closed its [offices] on March 17, 2020.” (Compl. {§ 2, 89-90.) Notably, Plaintiff does not allege that COVID-19 was present in its offices or among its employees. Plaintiff asserts that, as a result of closing its offices, it incurred a “substantial loss of business income and additional expenses.” (/d. §§ 29, 33, 38.) Plaintiff contacted an insurance agent regarding its intent to file an insurance claim but was informed that its “business interruption claim would be denied.” Ud. §§ 55-56.) Thereafter, Plaintiff filed suit seeking declaratory relief affirming that its losses are covered under the Policy. (Compl. §§§ 103-109.) Defendant filed the present motion to dismiss pursuant to Rule 12(b)(6). Il. LEGAL STANDARD A. Rule 12(b)(6) Failure to State a Claim. “To survive □ motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Ail. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). The plaintiff must demonstrate “more than a sheer possibility that a defendant has acted unlawfully”; stating a facially plausible claim requires the plaintiff to plead facts that enable the court “to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Jd. (citation omitted).

The New York and California orders are hereinafter referred to collectively as the “Orders.” 2 While there were exceptions to the Orders, none are relevant here.

The factual allegations pled must therefore “be enough to raise a right to relief above the speculative level.” Twombly, 550 U.S. at 555 (citation omitted).? A district court must first review a plaintiffs complaint to identify allegations that, “because they are no more than conclusions, are not entitled to the assumption of truth.” Jgbal, 556 U.S. at 679.

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Gammon and Associates Inc. v. National Fire Insurance Company of Hartford, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gammon-and-associates-inc-v-national-fire-insurance-company-of-hartford-nysd-2021.