John's Grill v. Hartford Financial Services Group

CourtCalifornia Court of Appeal
DecidedDecember 27, 2022
DocketA162709
StatusPublished

This text of John's Grill v. Hartford Financial Services Group (John's Grill v. Hartford Financial Services Group) 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
John's Grill v. Hartford Financial Services Group, (Cal. Ct. App. 2022).

Opinion

Filed 12/27/22

CERTIFIED FOR PARTIAL PUBLICATION* IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION FOUR

JOHN’S GRILL, INC., et al., Plaintiffs and Appellants, A162709 v. (San Francisco Super. Ct. THE HARTFORD FINANCIAL No. CGC-20-584184) SERVICES GROUP, INC., et al., Defendants and Respondents.

John’s Grill, Inc. and its owner John Konstin (collectively, John’s Grill) appeal from the trial court’s orders (1) sustaining Sentinel Insurance Company, Ltd. (Sentinel)’s demurrer without leave to amend, and (2) granting The Hartford Financial Services Group, Inc. (HFSG)’s motion to quash service of summons. John’s Grill alleges that Sentinel and HFSG wrongfully denied its claim for business interruption coverage for losses sustained in connection with the COVID-19 pandemic. The trial court sustained Sentinel’s demurrer on the ground that its business insurance policy affords no coverage for the claim, and granted the motion to quash on the ground that John’s Grill failed to show personal jurisdiction over HFSG. In the unpublished portion of this opinion, we conclude that the trial court correctly granted the motion to quash, and in the published portion of the opinion, we conclude that the court erred in sustaining the demurrer without leave to amend.

Pursuant to California Rules of Court, rules 8.1105(b) and 8.1110, this *

opinion is certified for publication with the exception of part II.A.

1 On the merits, we write in a rapidly evolving area of law. Over the last 18 months, a nearly uniform line of cases in California and across the country holds that temporary loss of use of property due to the COVID-19 pandemic does not constitute “direct physical loss of or damage to” property for purposes of first party insurance coverage. (See Apple Annie, LLC v. Oregon Mutual Ins. Co. (2022) 82 Cal.App.5th 919, 930–935 [summarizing cases].) But nearly all of these cases turn on standard form language that was not customized in any material way by modifying endorsement. The twist in this case is that Sentinel’s policy has customized trigger- of-coverage language that is virus-specific. Unlike the undefined term “direct physical loss of or damage to” property in almost all of the COVID-19 business interruption cases decided to date, Sentinel’s policy, by endorsement, (1) contains an affirmative grant of coverage specifically for “loss or damage” caused by a virus, and (2) a special definition of “loss or damage” that includes “[d]irect physical loss or direct physical damage to” property, but is broad enough to encompass pervasive infiltration of virus particulates onto the surfaces of covered property, which is what is alleged here. Although Sentinel’s grant of coverage for property “loss or damage” caused by virus is expressly limited—principally by a condition that makes it applicable only if the virus is the “result of ” one of a number of listed causes, none of which John’s Grill has alleged—the specified causes clause in Sentinel’s limited virus coverage endorsement, applied broadly, as Sentinel proposes to apply it here, effectively transforms the limited grant of coverage for virus-caused “loss or damage” into an empty promise. On this record, we conclude that it is unenforceable under the illusory coverage doctrine.

2 I. BACKGROUND A. The Parties and the Policy John’s Grill owns and operates a restaurant in downtown San Francisco. On March 16, 2020, in response to the COVID-19 pandemic, the City and County of San Francisco issued a shelter-in-place order that required nonessential businesses to close and restaurants to suspend in- person dining. Subsequent orders were issued that permitted limited indoor and outdoor dining beginning in September 2020. As a result of these orders and the presence of COVID-19 on its premises, John’s Grill either had to remain closed or operate at a limited capacity. Sentinel issued a “Spectrum Business Owner’s Policy” to John’s Grill for the policy period of November 1, 2019 to November 1, 2020 (the Policy). In a mammoth, 217-page document, the Policy provides a variety of different types of commercial insurance to John’s Grill, including first party property coverage in a Special Property Coverage Form, third party liability coverage in a Business Liability Coverage Form, and umbrella liability coverage in an Umbrella Liability Supplemental Contract. All of these coverages are preceded by a Declarations summary stating per claim and per occurrence limitations, and by various Common Conditions of coverage. Within each form of coverage is an insuring agreement, various standard definitions, exclusions, additional coverages, and coverage extensions. There are also modifying endorsements that customize the respective coverages in different ways, including a number of modifications tailored specially to a restaurant business.1

1These modifications, set forth in an endorsement entitled “Super Stretch for Restaurants,” apply specifically to the Special Property Coverage Form.

3 The Special Property Coverage Form is structured to provide all “Perils” coverage, meaning all risks of physical loss or damage are covered unless subject to a specific exception or exclusion.2 At issue here is the first party property insurance provided under two endorsements that modify the Special Property Coverage Form: (1) an “Actual Loss Sustained Business Income & Expense—Specified Limit Coverage” endorsement providing coverage for losses due to suspended operations (the Lost Business Income and Extra Expense Endorsement), and (2) a “Limited Fungi, Bacteria or Virus Coverage” endorsement (the Limited Fungi or Virus Coverage Endorsement). The most pertinent of these two endorsements is the Limited Fungi or Virus Coverage Endorsement, which includes provisions (1) that add limited coverage in certain circumstances for “loss or damage” “caused by” “virus” (the Limited Virus Coverage), subject to certain conditions requiring that the virus was the “result of ” one or more of a list of enumerated causes (the Specified Causes Clause), and (2) that exclude any “loss or damage caused directly or indirectly by” the “[p]resence, growth, proliferation, spread or any activity of ‘fungi’, wet rot, dry rot, bacteria or virus” (the Virus Exclusion), subject to an exception where the loss or damage falls within the Limited Virus Coverage. Although we are presented with an issue of personal jurisdiction as a threshold matter, how to reconcile the Limited Virus Coverage with the Virus Exclusion is at the heart of the appeal on the merits.

2 An endorsement entitled “Perils Specifically Excepted” provides that, “As used herein, ‘Peril’ means a cause of physical loss or damage to property.” Paragraphs A and B of the endorsement go on to list a series of “excepted” “Perils.” And Paragraph B of the Special Property Coverage Form sets forth a list of exclusions.

4 B. The Proceedings in the Trial Court Within days of what is now commonly known as the Great Shutdown due to the COVID-19 virus in late March 2020, John’s Grill submitted a claim to Sentinel for lost business income under the Lost Business Income and Extra Expense Endorsement. The response came rapidly. On April 6, 2020, Sentinel issued a letter denying the claim. Sentinel’s declination letter explained that “since the coronavirus did not cause property damage at your place of business or in the immediate area, this business income loss is not covered.” The letter further stated that even if there was property damage, such damage was excluded from the Policy and that the limited coverage for damage caused by virus did not apply. On April 15, 2020, John’s Grill brought suit against Sentinel and HFSG,3 alleging causes of action for breach of contract, bad faith denial of insurance coverage, unfair business practices, fraud, and declaratory relief.

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

Related

State of Cal. v. Continental Insurance
281 P.3d 1000 (California Supreme Court, 2012)
Waller v. Truck Insurance Exchange, Inc.
900 P.2d 619 (California Supreme Court, 1995)
Producers Dairy Delivery Co. v. Sentry Insurance
718 P.2d 920 (California Supreme Court, 1986)
Vons Companies, Inc. v. Seabest Foods, Inc.
926 P.2d 1085 (California Supreme Court, 1996)
Montrose Chemical Corp. v. Admiral Insurance
897 P.2d 1 (California Supreme Court, 1995)
Blank v. Kirwan
703 P.2d 58 (California Supreme Court, 1985)
Qualls v. Farm Bureau Mutual Insurance Company
184 N.W.2d 710 (Supreme Court of Iowa, 1971)
Curtis O. Griess & Sons, Inc. v. Farm Bureau Insurance
528 N.W.2d 329 (Nebraska Supreme Court, 1995)
Delgado v. Heritage Life Insurance
157 Cal. App. 3d 262 (California Court of Appeal, 1984)
Hallmark Ins. Co. v. Superior Court
201 Cal. App. 3d 1014 (California Court of Appeal, 1988)
Howell v. State Farm Fire & Casualty Co.
218 Cal. App. 3d 1446 (California Court of Appeal, 1990)
Sonora Diamond Corp. v. Superior Court
99 Cal. Rptr. 2d 824 (California Court of Appeal, 2000)
Hayter Trucking, Inc. v. Shell Western E & P, Inc.
18 Cal. App. 4th 1 (California Court of Appeal, 1993)
Shell Oil Co. v. Winterthur Swiss Insurance
12 Cal. App. 4th 715 (California Court of Appeal, 1993)
City of Morgan Hill v. Brown
84 Cal. Rptr. 2d 361 (California Court of Appeal, 1999)
Blackhawk Corp. v. Gotham Ins. Co.
54 Cal. App. 4th 1090 (California Court of Appeal, 1997)
Lucich v. City of Oakland
19 Cal. App. 4th 494 (California Court of Appeal, 1993)
Shade Foods, Inc. v. Innovative Products Sales & Marketing, Inc.
93 Cal. Rptr. 2d 364 (California Court of Appeal, 2000)
Scottsdale Insurance v. Essex Insurance
119 Cal. Rptr. 2d 62 (California Court of Appeal, 2002)
Collin v. American Empire Insurance
21 Cal. App. 4th 787 (California Court of Appeal, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
John's Grill v. Hartford Financial Services Group, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johns-grill-v-hartford-financial-services-group-calctapp-2022.