Santo's Italian Cafe LLC v. Acuity Ins. Co.

15 F.4th 398
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 22, 2021
Docket21-3068
StatusPublished
Cited by104 cases

This text of 15 F.4th 398 (Santo's Italian Cafe LLC v. Acuity Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Santo's Italian Cafe LLC v. Acuity Ins. Co., 15 F.4th 398 (6th Cir. 2021).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 21a0224p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ SANTO’S ITALIAN CAFÉ LLC, │ Plaintiff-Appellant, │ > No. 21-3068 │ v. │ │ ACUITY INSURANCE COMPANY, │ Defendant-Appellee. │ │ ┘

Appeal from the United States District Court for the Northern District of Ohio at Cleveland. No. 1:20-cv-01192—Pamela A. Barker, District Judge.

Argued: September 16, 2021

Decided and Filed: September 22, 2021

Before: SUTTON, Chief Judge; BATCHELDER and LARSEN, Circuit Judges.

_________________

COUNSEL

ARGUED: Colin P. Sammon, SAMMON LAW, LLC, Medina, Ohio, for Appellant. John R. Chlysta, HANNA, CAMPBELL & POWELL, LLP, Akron, Ohio, for Appellee. John N. Ellison, REED SMITH LLP, New York, New York, Stephen E. Goldman, ROBINSON & COLE LLP, Hartford, Connecticut, for Amici Curiae. ON BRIEF: Colin P. Sammon, SAMMON LAW, LLC, Medina, Ohio, for Appellant. John R. Chlysta, Kenneth A. Calderone, HANNA, CAMPBELL & POWELL, LLP, Akron, Ohio, for Appellee. John N. Ellison, REED SMITH LLP, New York, New York, Christopher E. Kozak, PLEWS SHADLEY RACHER & BRAUN LLP, Indianapolis, Indiana, Wystan M. Ackerman, ROBINSON & COLE LLP, Hartford, Connecticut, Gabriel K. Gillett, JENNER & BLOCK, LLP, Chicago, Illinois, Timothy J. Fitzgerald, KOEHLER FITZGERALD LLC, Cleveland, Ohio, for Amici Curiae. No. 21-3068 Santo’s Italian Café v. Acuity Ins. Co. Page 2

OPINION _________________

SUTTON, Chief Judge. Santosuossos is an Italian restaurant in Medina, Ohio. The COVID-19 pandemic was not good for the restaurant’s business or for that matter most hospitality services. First came an understandable reluctance by patrons to enter enclosed public spaces such as restaurants. Then came the State of Ohio’s order to suspend all in-person dining operations at restaurants to slow the spread of the virus. Through it all, Santosuossos lost considerable revenue and understandably blamed the pandemic and shut-down order for its economic woes. The owner of the restaurant sued its insurer, Acuity Insurance Company, for coverage under its commercial property insurance policy, which covers business interruption “caused by direct physical loss of or damage to property.” R.7-7 at 29. The district court granted Acuity’s motion to dismiss, reasoning that the policy did not cover this kind of peril. We agree and affirm.

I.

In March 2020, the Governor of Ohio declared a state of emergency in connection with the COVID-19 pandemic. A few days later, the Director of the Ohio Department of Health ordered restaurants across the State to close their doors to in-person diners. The order forced Santosuossos “to halt ordinary operations.” R.1-1 at 3. Although the closure order permitted restaurants to offer takeout services, in-person dining generates the “substantial majority of [Santosuossos’s] revenue.” Id. The restaurant sustained significant losses and laid off employees as a result of the order.

The owner of the restaurant, Santo’s Italian Café LLC, filed a claim with its insurance company, Acuity, seeking recovery under its commercial property insurance policy. After Acuity denied coverage, the owner filed a complaint in Ohio state court, seeking a declaration that required Acuity to reimburse it for the income lost while the closure orders were in place. Acuity removed the lawsuit to federal court and filed a motion to dismiss for failure to state a claim. See Fed. R. Civ. P. 12(b)(6). The district court granted the motion, reasoning that the policy did not cover lost income attributable to the pandemic and any shut-down orders. No. 21-3068 Santo’s Italian Café v. Acuity Ins. Co. Page 3

II.

Ohio law governs this dispute. An insurance policy amounts to a contract, the meaning of which presents a question of law. Lager v. Miller-Gonzalez, 896 N.E.2d 666, 669 (Ohio 2008). In Ohio, as in all States (we expect), the state courts construe the terms of a contract in accordance with their conventional meaning. Laboy v. Grange Indem. Ins. Co., 41 N.E.3d 1224, 1227 (Ohio 2015).

The text of the policy answers the question at hand. Two big-picture provisions initially orient the policy. At the outset, it says that “[w]e will pay for direct physical loss of or damage to Covered Property . . . caused by or resulting from any Covered Cause of Loss.” R.7-7 at 25. It then says that, with respect to “Covered Causes of Loss,” the policy applies to “Risks of Direct Physical Loss.” Id. at 26.

Later, it provides eighteen “Additional Coverages,” one of which includes coverage for “Business Income and Extra Expense.” Id. at 29. Under this provision, Acuity must reimburse the owner of the restaurant for business income lost “due to the necessary suspension” of its operations if the “suspension” was “caused by direct physical loss of or damage to property” at the restaurant. Id. The policy defines a “suspension” as either “[t]he partial slowdown or complete cessation of . . . business activities” or when “a part or all of the described premises is rendered untenantable.” Id. at 30. Thus: If the restaurant (1) lost business income (2) due to a business suspension, it may recover the lost income (3) caused by (4) “direct physical loss of or damage to property.”

Everyone agrees that the shut-down orders required Santosuossos to suspend its in- premises dining operations, that the restaurant lost business income due to that suspension, and that the orders caused the shutdown. What separates the parties is disagreement over whether the suspension arose from a covered cause. Does a pandemic-triggered government order, barring in- person dining at a restaurant, count as “direct physical loss of or damage to” the property?

The policy does not define these words, requiring us to give them their “common and ordinary” meaning. Olmstead v. Lumbermens Mut. Ins. Co., 259 N.E.2d 123, 126 (Ohio 1970). That is cold comfort in one sense. There is nothing common or ordinary about insurance contracts. No. 21-3068 Santo’s Italian Café v. Acuity Ins. Co. Page 4

Ordinary people do not speak in the way the authors of insurance policies write. Consider the reaction you would receive if at the next social gathering you expressed your fears in the manner of this insurance contract: (1) “I’m afraid of ‘loss or damage by theft’ of my ‘jewelry, watches, watch movements, jewels, pearls, precious and semi-precious stones, bullion, gold, silver, platinum and other precious alloys or metals,’” R.7-7 at 26; (2) “My home ‘shows evidence of cracking, bulging, sagging, bending, leaning, settling, shrinkage or expansion,’” id. at 29; (3) “Where are the ‘papers and records?’” “In whose ‘care, custody or control’ are they?” id. at 36; or (4) “I’m afraid of ‘[w]ar, including undeclared or civil war, . . . [w]arlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents,’ and ‘[i]nsurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these,’” id. at 39.

There is indeed nothing common about the language of insurance contracts. Then again, there is nothing common about the task at hand—capturing risk and what to pay for it, pricing unknowable future perils in a fair and predictable way. This is a specialized field of language, and aptly so. Hence the 26 pages and many words, sometimes overlapping words, needed to complete this contract.

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Cite This Page — Counsel Stack

Bluebook (online)
15 F.4th 398, Counsel Stack Legal Research, https://law.counselstack.com/opinion/santos-italian-cafe-llc-v-acuity-ins-co-ca6-2021.