Out West Restaurant Group, Inc v. Affiliated Fm Insurance Co

CourtCourt of Appeals for the Ninth Circuit
DecidedSeptember 2, 2022
Docket21-15585
StatusUnpublished

This text of Out West Restaurant Group, Inc v. Affiliated Fm Insurance Co (Out West Restaurant Group, Inc v. Affiliated Fm Insurance Co) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Out West Restaurant Group, Inc v. Affiliated Fm Insurance Co, (9th Cir. 2022).

Opinion

NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS SEP 2 2022 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT

OUT WEST RESTAURANT GROUP, INC.; No. 21-15585 CERCA TROVA RESTAURANT GROUP, INC.; CERCA TROVA STEAKHOUSE, D.C. No. 3:20-cv-06786-TSH L.P.; CERCA TROVA SOUTHWEST RESTAURANT GROUP, LLC, MEMORANDUM* Plaintiffs-Appellants,

v.

AFFILIATED FM INSURANCE COMPANY,

Defendant-Appellee.

Appeal from the United States District Court for the Northern District of California Thomas S. Hixson, Magistrate Judge, Presiding

Submitted August 31, 2022** San Francisco, California

* This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3. ** The panel unanimously concludes this case is suitable for decision without oral argument. See Fed. R. App. P. 34(a)(2). Before: W. FLETCHER and COLLINS, Circuit Judges, and FEINERMAN,*** District Judge.

Out West Restaurant Group, Inc. and three related entities (“Out West”) held

a commercial property insurance policy issued by Affiliated FM Insurance Company

(“Affiliated”). Several policy provisions, including the “Civil or Military Authority”

provision, cover business losses that are the “direct result of physical loss or

damage” to property but exclude losses due to “contamination.” Two provisions

cover costs and losses from the “presence of communicable disease.” Out West

sought coverage from Affiliated for costs and losses arising from business

interruptions caused by the presence of the COVID-19 virus at its restaurants and

COVID-related government closure orders. Affiliated denied the coverage under

the “direct physical loss or damage” provisions, deferred a coverage determination

under the two “communicable disease” provisions, and sought additional

information from Out West to investigate coverage under those two provisions.

Out West sued Affiliated, alleging that the policy covered its costs and losses.

The district court dismissed the suit with prejudice under Rule 12(b)(6), holding that

Out West did not suffer “direct physical loss or damage” within the meaning of the

policy, and that its claim for “communicable disease” coverage remained under

consideration by Affiliated. We review de novo the district court’s judgment. See

*** The Honorable Gary Feinerman, United States District Judge for the Northern District of Illinois, sitting by designation. 2 L.A. Lakers, Inc. v. Fed. Ins. Co., 869 F.3d 795, 800 (9th Cir. 2017). We may affirm

the judgment on any ground supported by the record. See Franklin v. Terr, 201 F.3d

1098, 1100 n.2 (9th Cir. 2000).

As to the direct physical loss or damage policy provisions, Affiliated argues

(1) that Out West’s losses were not a “direct result of physical loss or damage” to

property, and, in the alternative, (2) that the contamination exclusion bars coverage.

Insofar as Out West submits that its costs and losses were caused by government

closure orders, its claim is foreclosed by Mudpie, Inc. v. Travelers Casualty

Insurance Co. of America, 15 F.4th 885 (9th Cir. 2021), which holds that such

orders, standing alone, do not inflict direct physical loss or damage to property. Id.

at 889–93.

To the extent that Out West argues that coverage is nonetheless available

under the Civil or Military Authority provision, we reject that contention. That

provision covers certain losses caused by an “order of civil or military authority

[that] prohibits access to a location[,] provided such order is the direct result of

physical damage … at a[n] [insured] location or within five (5) statute miles of it”

(emphasis added). Out West alleges that the closure orders that “deprived [it] of the

use and function” of its restaurants, were imposed due to “the presence of COVID-

19 … at and/or within five miles of Out West insured locations.”

3 Confronting materially identical allegations, the California Court of Appeal

held that a similar Civil Authority provision “d[id] not apply” to business losses

caused by COVID-related shutdown orders because “the plain language of the

Orders shows that they were not based on ‘direct physical loss of or damage to

property’ to [] premises,” but rather were issued “in an attempt to prevent the spread

of the COVID-19 virus.” Inns by the Sea v. Cal. Mut. Ins. Co., 286 Cal. Rptr. 3d

576, 595–96 (Cal. Ct. App. 2021); see also id. at 581, 595–96 (holding that shutdown

orders designed “to slow the spread of COVID-19 to the maximum extent possible

… did not give rise to Civil Authority coverage,” despite the plaintiff’s allegations

that the orders “were made in direct response to the continued and increasing

presence of the coronavirus on [the plaintiff’s] property and/or around its premises”).

So too here: the stated purpose of the Solano County order—the only order discussed

in Out West’s complaint and briefs—was to “protect and preserve the public health

from, and prevent, the increasing transmission of COVID-19 in California.” Order

of the Health Officer No. 2020-04, issued on March 30, 2020, available at

https://solano.courts.ca.gov/wp-

content/uploads/2020/08/Solano_County_Health_Officer_Order_No_2020-04.pdf.

The same holds for the orders cited in an appendix to the complaint, one of which—

the Monterey County order—was among those examined by Inns by the Sea. D.C.

No. 3:20-cv-06786-TSH, Doc. 18-4; Inns, 286 Cal. Rptr. 3d at 595–97.

4 Accordingly, because the closure orders that allegedly caused Out West’s losses

were issued in an effort to halt the spread of COVID-19, Out West is not entitled to

coverage under the Civil or Military Authority provision for losses it suffered due to

those orders.1

Nor is Out West entitled to coverage, under the direct physical loss or damage

policy provisions, due to the presence of COVID-19 virus on its property. To the

extent that Out West’s theory of physical loss is based upon the presence of infected

employees or patrons on its property, standing alone, that does not entail a “physical

alteration of property” and therefore does not qualify as direct physical damage or

loss. Mudpie, 15 F.4th at 892. And to the extent that Out West argues that infected

persons contaminated the property or that virus was otherwise present, the

contamination exclusion would bar coverage under the direct physical loss or

damage policy provisions. The exclusion precludes coverage under those provisions

for “[c]ontamination, and any cost due to contamination including the inability to

use or occupy property or any cost of making property safe or suitable for use or

occupancy.” “Contamination” is defined as “any condition of property due to the

actual or suspected presence of any foreign substance … pathogen or pathogenic

organism, bacteria, virus, disease causing or illness causing agent, fungus, mold or

1 Because coverage is thus not available under the Civil or Military Authority provision, we need not resolve the parties’ dispute as to whether the contamination exclusion applies to that coverage. 5 mildew.” It follows that the policy excludes under those provisions losses caused

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Related

Franklin v. Terr
201 F.3d 1098 (Ninth Circuit, 2000)
Bova v. City of Medford
564 F.3d 1093 (Ninth Circuit, 2009)
Magna Enterprises, Inc. v. Fidelity National Title Insurance
127 Cal. Rptr. 2d 681 (California Court of Appeal, 2002)
Julian v. Hartford Underwriters Insurance
110 P.3d 903 (California Supreme Court, 2005)
Los Angeles Lakers, Inc. v. Federal Insurance Co.
869 F.3d 795 (Ninth Circuit, 2017)
Mudpie, Inc. v. Travelers Casualty Insurance
15 F.4th 885 (Ninth Circuit, 2021)

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Out West Restaurant Group, Inc v. Affiliated Fm Insurance Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/out-west-restaurant-group-inc-v-affiliated-fm-insurance-co-ca9-2022.