Jordache Enterprises, Inc. v. Affilated FM Insurance Company

CourtDistrict Court, S.D. New York
DecidedMarch 31, 2022
Docket1:21-cv-05433
StatusUnknown

This text of Jordache Enterprises, Inc. v. Affilated FM Insurance Company (Jordache Enterprises, Inc. v. Affilated FM Insurance Company) 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
Jordache Enterprises, Inc. v. Affilated FM Insurance Company, (S.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT EDLOECC#T: RONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DATE FILED: 03/31/22 JORDACHE ENTERPRISES, INC., et al., Plaintiffs, No. 21-CV-5433 (RA) v. OPINION & ORDER AFFILIATED FM INSURANCE COMPANY, Defendant. RONNIE ABRAMS, United States District Judge: Jordache Enterprises, Inc. and its affiliated and subsidiary entities (collectively, “Plaintiffs”) filed the instant action against Affiliated FM Insurance Company (“Affiliated FM”), alleging that it breached Plaintiffs’ “All Risk Policy” (the “Policy”) by denying coverage for losses Plaintiffs incurred as a result of the COVID-19 pandemic. Defendant has moved to dismiss the Complaint, contending that it properly denied coverage because COVID-19 did not cause a “physical loss or damage” required to trigger the Policy’s general business interruption provisions, and because Plaintiffs have not identified the “actual not suspected presence” of the virus at any of their locations, as is required for coverage under the Policy’s limited communicable disease extensions. For the reasons that follow, Defendant’s motion is granted, although Plaintiffs are granted leave to amend with respect to their theory of breach based on the communicable disease extensions. BACKGROUND1 Jordache Enterprises is a “designer, manufacturer, and purveyor of a wide variety of denim, apparel and accessories, most notably including premium jeans.” Compl. ¶ 1. On April 27, 2019, Jordache purchased an insurance policy from Defendant that provided coverage for itself and the

other named Plaintiffs for the next year. Compl. ¶¶ 4, 154-57; Dkt 23-2, Mallin Aff., Ex. B. The named Plaintiffs are primarily “engaged in the retail or outlet sale of goods,” Compl. ¶ 166, though several Plaintiffs operate hotels and wholesale businesses, Compl. ¶¶ 175-76. Beginning in mid-March 2020, Plaintiffs began to sustain losses in connection with the COVID- 19 pandemic. Compl. ¶ 164. The retail and hotel locations experienced reduced sales and many locations were required to close altogether due to civil authority orders. Compl. ¶¶ 149, 165, 175. The wholesale Plaintiffs experienced losses due to the pandemic’s effect on the retail businesses they supplied. Compl. ¶ 176. Several Plaintiffs also sustained losses due to tenants who were unable to pay rent during the pandemic. Compl. ¶¶ 169-72. Plaintiffs contend that these losses are covered by their Policy with Defendant Affiliated

FM, and, on June 8, 2020, they submitted a claim in connection with those losses. Compl. ¶ 179. Affiliated FM denied the majority of Plaintiffs’ claim on the basis that there was “no actual presence of the disease at Plaintiffs’ premises,” and Plaintiffs did not suffer any “physical loss or

1 The following facts are drawn from Plaintiffs’ Complaint, Dkt. 1, Ex. A (“Compl.”), which the Court assumes to be true for the purpose of resolving this motion, see Stadnick v. Vivint Solar, Inc., 861 F.3d 31, 35 (2d Cir. 2017). The Court will also consider the Policy in deciding the motion to dismiss. “A complaint is deemed to include any written instrument attached to it as an exhibit or any statements or documents incorporated in it by reference.” Nicosia v. Amazon.com, Inc., 834 F.3d 220, 230 (2d Cir. 2016). Plaintiffs did not attach a copy of the Policy to the Complaint, but they did attach a copy to their opposition to the motion to dismiss. Given that Plaintiffs relied on the terms of the Policy and quoted from it extensively in the Complaint, the Court may consider it in deciding this motion. Hertz Glob. Holdings, Inc. v. Nat’l Union Fire Ins. Co. of Pittsburgh, 530 F. Supp. 3d 447, 451 (S.D.N.Y. 2021) (citing Chambers v. Time Warner, Inc., 282 F.3d 147, 153 (2d Cir. 2002)); see also Pastor v. Woodmere Fire Dist., No. 16-CV-892 (ADS) (ARL), 2016 WL 6603189, at *4 (E.D.N.Y. Nov. 7, 2016) (“[C]ourts within this Circuit routinely consider copies of relevant policy documents in connection with insurance disputes.”) (collecting cases). damage.” Compl. ¶¶ 182-84. Plaintiffs now contend that Defendant’s denial of their claim constituted a breach of the Policy, and Plaintiffs are owed $51,580,820. Compl. ¶¶ 188-91. The Policy provided that Affiliated FM would insure against “ALL RISKS OF PHYSICAL LOSS OR DAMAGE, except as hereinafter excluded.” Dkt. 23-2, Policy at 1 (capitalization in original); see Compl. ¶¶ 155, 158.2 In addition to covering physical damage at the “described

locations,” the Policy contained coverage for “Business Interruption.” This coverage allowed for recovery of lost profits and income, among other things, and applied to losses incurred by Plaintiffs that were “a direct result of physical loss or damage of the type insured.” Compl. ¶ 159; Policy at 19. Plaintiffs allege that the “various civil authority orders,” see Compl. ¶¶ 163-67, 174-76, and the actual presence of COVID-19 at the insured properties, see Compl. ¶¶ 133, 140-41, 174-76, satisfy this requirement. The Business Interruption coverage, in turn, was subject to a number of general exclusions, two of which are relevant to the instant dispute: the “Contamination Exclusion” and the “Loss of Use Exclusion.” These exclusions precluded recovery of costs “due to contamination including the

inability to use or occupy property or any cost of making property safe or suitable for use or occupancy,” Policy at 5, as well as costs based solely on “loss of market or loss of use,” Policy at 4. The Business Interruption coverage and the Policy’s exclusions were further subject to several relevant extensions of coverage. Plaintiffs’ Complaint quotes large portions of the “Business Interruption Coverage Extensions” section as potentially relevant to their claim— including extensions titled “Attraction Property,” “Civil or Military Authority,” “Ingress/Egress,”

2 Unless otherwise noted, citations to page numbers of the Policy correspond to the page numbers of the All Risk Coverage Policy Form. and “Supply Chain.” See Compl. ¶ 160; Policy at 24-31. Like the Business Interruption coverage generally, each of these extensions required a “physical loss or damage” to trigger coverage. Id. Two of the Policy’s relevant extensions, however, did not require a “physical loss or damage.” Those extensions applied where damage resulted from the “actual not suspected

presence” of a communicable disease at the insured locations. Policy at 7, 25. Both the “Communicable Disease – Property Damage” and “Communicable Disease – Business Interruption” extensions (together, the “Communicable Disease extensions”), covered losses where “a described location owned, leased or rented by the Insured has the actual not suspected presence of communicable disease” and a governmental agency or officer of the insured limited or denied access to the location. Policy at 7, 25. Defendant does not dispute, at this stage, that these provisions “are potentially applicable,” but instead contends that Plaintiffs have failed to allege the “actual not suspected presence” of COVID-19 at a covered location, or that “access to the covered locations was limited, restricted, or prohibited by” an order of a governmental agency. See Def.’s Mem. at 2 n.4, 8.

LEGAL STANDARD To survive a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6), a complaint must plead “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007).3 In assessing a complaint, the Court must accept “all factual allegations as true, but giv[e] no effect to legal conclusions couched as factual allegations.” Stadnick v. Vivint Solar, Inc., 861 F.3d 31, 35 (2d Cir.

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Jordache Enterprises, Inc. v. Affilated FM Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jordache-enterprises-inc-v-affilated-fm-insurance-company-nysd-2022.