System Optics, Inc. v. Twin City Fire Insurance Company

CourtDistrict Court, N.D. Ohio
DecidedMay 24, 2021
Docket5:20-cv-01072
StatusUnknown

This text of System Optics, Inc. v. Twin City Fire Insurance Company (System Optics, Inc. v. Twin City Fire Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
System Optics, Inc. v. Twin City Fire Insurance Company, (N.D. Ohio 2021).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO EASTERN DIVISION

SYSTEM OPTICS, INC. d/b/a Novus ) CASE NO. 5:20-cv-1072 Clinics, ) ) ) PLAINTIFF, ) JUDGE SARA LIOI ) vs. ) ) MEMORANDUM OPINION TWIN CITY FIRE INSURANCE ) COMPANY, et al, ) ) DEFENDANTS. )

Like many businesses, plaintiff System Optics, Inc. d/b/a Novus Clinics (“System Optics”) has suffered financial losses after being forced to cease or modify its operations due to the COVID-19 pandemic and resulting government closure orders. System Optics sought to recover these loses through its insurance provider, defendant Twin City Fire Insurance Company (“Twin City”), under a commercial policy, and Twin City denied the claim. The instant civil action, removed from state court on diversity grounds, followed. Presently before the Court is Twin City’s motion for judgment on the pleadings. (Doc. No. 21 [“MJP”].) System Optics opposes the motion (Doc. No. 22 [“Opp’n”]), and Twin City has filed a reply. (Doc. No. 23 [“Reply”].) For the reasons set forth herein, the motion is granted, and the case is dismissed. I. BACKGROUND System Optics “is the owner and operator of several clinics which . . . provide [a range of “non-essential eye care services” including] optometry services, ophthalmologic services, and ophthalmologic surgery services in the State of Ohio[.]” (Doc. No. 1-1 (Complaint [“Compl.”]), beginning at 81, ¶ 1; see id. ¶ 15.) System Optics is an Ohio corporation with its principal place of business in Tallmadge, Ohio. (Id. ¶ 15.) It operates centers in Alliance, Uniontown, Akron, and Tallmadge, Ohio. (Id.) Twin City is an Indiana corporation with its principal place of business in Hartford, Connecticut. (Id. ¶ 16.) Defendant Hartford Financial Services Group, Inc. (“Hartford”) is a Connecticut corporation. (Id. ¶ 17.) Twin City is a subsidiary of Hartford.2 (Id.) Twin City issued an “all risk” or “special perils” Business Owner’s Policy (“Policy”), No. 45 SBA A16052 (effective July 1, 2019 to July 1, 2020), to System Optics. (Id. ¶¶ 23–24; see Doc. No. 1-1 (Policy), beginning at 26.) The Policy provides that Twin City “will pay for direct physical loss of or physical damage to Covered Property . . . caused by or resulting from a Covered Cause of Loss.” (Policy at 59, Special Property Coverage Form (“SPCF”) § A.)

“Covered Causes of Loss” is defined as “RISKS OF DIRECT PHYSICAL LOSS[,]” unless the loss is specifically excluded or limited in certain other Policy provisions. (Id. at 60, SPCF § A.3 [capitalization in original].) With respect to the additional coverage for loss of business income, the Policy provides that Twin City: will pay for the actual loss of Business Income you sustain due to the necessary suspension of your “operations” during the “period of restoration.” The suspension must be caused by direct physical loss of or damage to property at the “scheduled premises” . . . caused by or resulting from a Covered Cause of Loss.

(Id. at 68, SPCF § A.5.o(1); see Compl. ¶¶ 29–31 [referencing Business Income provision].) The policy further covers “reasonable and necessary Extra Expense you incur during the ‘period of restoration’ that you would not have incurred if there had been no direct physical loss or physical damage to property at the ‘scheduled premises’ . . . caused by or resulting from a

1 All page numbers refer to the page identification number generated by the Court’s electronic docketing system. 2 On July 28, 2020, Hartford was voluntarily dismissed from this action. (Doc. No. 13 (Order of Party Dismissal).) 2 Covered Cause of Loss.” (Policy at 68, SPCF § A.5.p(1); see Compl. ¶¶ 32–33 [referencing Extra Expense provision].) Under the Civil Authority provision, the Policy provides that “insurance is extended to apply to the actual loss of Business Income” sustained during a 30-day period “when access to [the] ‘scheduled premises’ is specifically prohibited by order of a civil authority as the direct result of a Covered Cause of Loss to property in the immediate area of [the] ‘scheduled premises.’” (Policy at 69, SPCF § A.5.q(1); see Compl. ¶ 34 [referencing Civil Authority provision].) There must, therefore, be a “Covered Cause of Loss” in order to recover under the Business Income, Extra Expense, or Civil Authority provisions. Pertinent to the present motion, by endorsement, the Policy sets forth what Twin City

calls the “Virus Exclusion,” which states that Twin City: will not pay for loss or damage caused directly or indirectly by any of the following. Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss:

(1) Presence, growth, proliferation, spread or any activity of “fungi”, wet rot, dry rot, bacteria or virus.

(2) But if “fungi,” wet rot, dry rot, bacteria or virus results in a “specified cause of loss” to Covered Property, [Twin City] will pay for the loss or damage caused by that “specified cause of loss”.

(Policy at 159, Virus Exclusion § A.2(i).) The Virus Exclusion applies “whether other not the loss event results in widespread damage or affects a substantial area.” (Id.) There are two exceptions to the Virus Exclusion: (1) when the fungi, wet rot, dry rot, bacteria or virus results from “fire or lightning”; or (2) “To the extent it is provided in Additional Coverage – Limited Coverage for ‘Fungi’, Wet Rot, Dry Rot, Bacteria and Virus with respect to loss other than fire or lightning.” (Id. at 159, Virus Exclusion § A.2(i).) As will be discussed, for 3 purposes of the present motion, to trigger the Limited Coverage provided for under this endorsement, the loss—unless it results from an equipment breakdown (not relevant here)—must be caused by a Specified Cause of Loss. (Policy at 160, Virus Exclusion § B.1.) On March 9, 2020, in response to the emerging COVID-19 pandemic, Governor Mike DeWine issued Executive Order 2020-01D, declaring a State of Emergency in Ohio. (Compl. ¶ 3.) In a series of Public Health Orders that followed between March 15, 2020 and March 22, 2020, Governor DeWine and Dr. Amy Acton, Director of the Ohio Department of Health, closed or limited operations of various types of establishments and directed all citizens to stay home unless engaged in essential work or activity. (Id. ¶¶ 5–9.) With respect to medical facilities, an order issued on March 17, 2020 temporarily halting all non-essential or elective surgeries or

medical procedures. (Id. ¶ 7.) Due to the government closure orders, System Optics was “forced to halt ordinary operations, resulting in substantial lost revenues and forcing [System Optics] to shut down operations and permanently lay off employees.” (Id. ¶¶ 10, 42.) System Optics sought to recoup some of the estimated $2,000,000.00 in business interruption losses under the terms of the Policy but, on March 23, 2020, Twin City denied the claim. (Id. ¶¶ 42–44.) On April 15, 2020, System Optics filed suit in the Summit County Court of Common Pleas. (Doc. No. 1 (Notice of Removal [“Notice”]) at 1.) The complaint seeks declaratory judgment and also raises claims for breach of contract and bad faith. (See generally Compl.) On

May 15, 2020, Twin City and Hartford removed the action to federal court. (Notice.) On October 2, 2020, the Court conducted a telephonic case management conference where it set dates and deadlines, including a deadline for early dispositive motions. (Minute Order, 10/02/2020.) Twin 4 City’s motion for judgment on the pleadings was filed on November 13, 2020. It is now fully briefed and ripe for resolution. II. STANDARD OF REVIEW Under Rule 12(c), a party may move for judgment on the pleadings any time after the pleadings are closed but early enough not to delay trial. Fed. R. Civ. P. 12(c).

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System Optics, Inc. v. Twin City Fire Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/system-optics-inc-v-twin-city-fire-insurance-company-ohnd-2021.