Lee v. Amguard Insurance Company

CourtDistrict Court, N.D. California
DecidedJuly 27, 2021
Docket5:20-cv-00210
StatusUnknown

This text of Lee v. Amguard Insurance Company (Lee v. Amguard Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lee v. Amguard Insurance Company, (N.D. Cal. 2021).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 SAN JOSE DIVISION 7 JUNG LEE, et al., 8 Case No. 20-cv-00210-EJD Plaintiffs, 9 v. ORDER GRANTING IN PART PLAINTIFFS’ MOTION FOR LEAVE 10 AMGUARD INSURANCE COMPANY, et al., TO FILE AND SERVE FIRST AMENDED COMPLAINT; DENYING 11 Defendants. MOTION FOR REMAND OF PROCEEDINGS TO STATE COURT 12 Re: Dkt. No. 26 13

14 Plaintiffs Fuji Sushi, a California Corporation, and business owners Jung Lee and Young 15 Lee (“Plaintiffs”) bring this suit against Defendant Amguard Insurance Company (“Amguard”) 16 seeking payment of insurance benefits under a fire insurance policy issued by Amguard. Presently 17 before the Court is Plaintiffs’ Motion for Leave to File and Serve First Amended Complaint and 18 for Remand of These Proceedings to State Court (“Mot.”). Dkt. No. 26. Having considered the 19 parties’ briefing, the relevant law, and the record in this case, the Court GRANTS in part and 20 DENIES in part Plaintiffs’ Motion. 21 I. BACKGROUND 22 A. The Original Complaint 23 1. Fuji Sushi Restaurant 24 Plaintiffs own a sushi restaurant and business called “Fuji Sushi.” Verified Compl. for 25 Breach of Insurance Contract; Insurance Bad Faith (“Compl.”), Dkt. No. 1-1 ¶ 7. The restaurant is 26 located on the ground floor of a building in downtown San Jose (the “Premises”) that Plaintiffs 27 Case No.: 20-cv-00210-EJD 1 first leased from Timothy and Sandra Gill (the “Landlord”) in 2007. Compl. ¶ 7. In 2012, 2 Plaintiffs and the Landlord entered a new lease agreement (the “Lease”) for the continuation of the 3 business which provides, in part, that if the Premises are totally or partially damaged by a fire 4 through no fault of the Plaintiffs, then the Landlord shall have the right to restore the premises by 5 repairing or rebuilding. Id. ¶¶ 7-8. 6 2. The Insurance Policy 7 On or about February 27, 2018, Plaintiffs purchased a Business Owners Insurance Policy 8 issued by Defendant Amguard (the “Insurance Policy”) for the period of April 3, 2018 to April 3, 9 2019. Id. ¶¶ 10-11. The Insurance Policy provides coverage for, among other things, Business 10 Income Loss in the amount of “actual loss of Business Income you sustain due to the necessary 11 suspension of your ‘operations’ during the ‘period of restoration.’” Compl. Ex. B (“Business 12 Income Loss Coverage”) at 20. The loss of Business Income must be sustained “during the period 13 of restoration and … within 12 consecutive months after the date of direct physical loss or 14 damage. Id. at 21. The Policy also provides coverage for Extra Expenses incurred “(a) to avoid or 15 minimize the suspension of business and to continue ‘operations’ [or] (b) to minimize the 16 suspension of business if you cannot continue operations.” Compl. Ex. C (“Extra Expense 17 Coverage”) at 24. These expenses must also occur “during the period of restoration” and “within 18 12 months of the direct physical loss or damage.” Id. The Insurance Policy defines the “period of 19 restoration” as the period of time that “ends on the earlier of (a) the date when the property at the 20 described premises should be repaired, rebuilt or replaced with reasonable speed and similar 21 quality or (b) the date when the new business is resumed.” Compl. Ex. D (“Definitions”) at 26. 22 3. The Fire and Plaintiffs’ Losses 23 On February 5, 2019, a fire started at the building through no fault of Plaintiffs (the 24 “Fire”), which damaged all portions of the Premises and made it unsuitable for conducting 25 restaurant operations. Id. ¶¶ 12-14. As a result, Plaintiffs were forced to stop conducting business 26 on the day of the fire and have been unable to resume operations since because the Premises have 27 Case No.: 20-cv-00210-EJD 1 not been repaired. Compl. ¶ 14. Plaintiffs allege that the fire has caused them to suffer Business 2 Income Losses, which have accrued at a rate of $37,002.20 per month and have continued 3 unabated since February 5, 2019. Id. ¶ 16. Plaintiffs believe their business income losses over the 4 course of the year will total at least $444,030. Id. ¶ 17. Amguard made one payment of $148,010 5 to cover Plaintiffs’ Business Income Losses from February 5, 2019 to June 4, 2019. Id. ¶ 21. 6 Since then, Amguard has not made any further payments for Business Income Loss or for Extra 7 Expenses, because they contend that the period of restoration has ended. Id. ¶ 22. 8 4. Procedural History 9 Plaintiffs filed a Verified Complaint for Breach of Insurance Contract; Insurance Bad Faith 10 on December 11, 2019 in Santa Clara County Superior Court, alleging two causes of action: first, 11 that Amguard breached its contract with Plaintiffs by discontinuing payment of Business Income 12 Losses and Extra Expenses (id. ¶ 28); and second, that Amguard breached its duty of good faith 13 and fair dealing by contending that the period of restoration had ended and by refusing to provide 14 any data, analysis, or reports that Amguard relied upon to support this contention. Id. ¶ 37. In 15 their Complaint, Plaintiffs requested damages of at least $292,020 ($444,030 total anticipated 16 Business Income Losses less $148,010) in addition to exemplary and punitive damages. Id. at 8. 17 On January 10, 2020, Amguard properly removed the case to this Court based on diversity 18 jurisdiction. See generally Def. Amguard Insurance Company’s Notice of Removal to Federal 19 Court (“Notice of Removal”), Dkt. No. 1-3. The parties have conducted discovery in the form of 20 document requests, requests for admissions and interrogatories. Mot. at 2. Plaintiffs filed this 21 Motion for leave to file their first amended complaint on March 12, 2021. See generally Mot. 22 B. The Proposed Amended Complaint 23 Plaintiffs now seek leave to amend and to supplement their Complaint (1) to add new 24 allegations and claims against Amguard based on (a) events that occurred before the filing of the 25 Complaint but were learned during discovery and (b) events that occurred after the filing of the 26 Complaint and (2) to add claims for breach of contract and professional negligence against a new 27 Case No.: 20-cv-00210-EJD 1 defendant, Altamont Insurance Brokers, Inc. (“Altamont”). Mem. of P. & A. in Supp. of Mot. 2 (“Mem. of P. & A.”), Dkt. No. 26-1 at 3. Plaintiffs also allege that the Fire has caused them to 3 incur various losses, including: property damage exceeding $150,000, loss of business income 4 amounting to $444,030 in the 12 months after the Fire and that have continued since, and various 5 related losses and expenses totaling $24,000 to date. Am. and Suppl. Compl. for Breach of 6 Contract; Negligence; Insurance Bad Faith (“Am. Compl.”), Dkt. No. 26-4, ¶¶ 22a-c. 7 1. New Allegations Against Defendant Amguard 8 In the Factual Background section of the proposed Amended Complaint, Plaintiffs have 9 explained additional details regarding Amguard’s alleged failure to pay benefits due under the 10 Policy. Notably, Plaintiffs allege that Amguard failed to conduct a full investigation into the cause 11 of the Fire. Id. ¶ 14. Further, Plaintiffs allege that Amguard and the Landlord’s insurance carrier 12 (“Hartford”) disagreed over their respective obligations to pay damages resulting from the Fire, 13 which caused or contributed to delays in the restoration of the Premises and building. Id. ¶ 19. As 14 of March 10, 2021, Plaintiffs still have not resumed restaurant operations because the Premises 15 have not been restored. Id. ¶ 20. 16 Plaintiffs’ Additional Allegations in Support of Their Breach of 17 Insurance Policy Claim Against Amguard 18 In the original Complaint, Plaintiffs alleged that Amguard breached the insurance policy 19 contract by refusing to pay benefits under the Insurance Policy (including Business Income 20 Losses), and by asserting that the period of restoration had ended. Compl. ¶¶ 28-30.

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Lee v. Amguard Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lee-v-amguard-insurance-company-cand-2021.