TJBC, Inc. v. Cincinnati Insurance Company

CourtCourt of Appeals for the Seventh Circuit
DecidedDecember 9, 2021
Docket21-1203
StatusPublished

This text of TJBC, Inc. v. Cincinnati Insurance Company (TJBC, Inc. v. Cincinnati Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TJBC, Inc. v. Cincinnati Insurance Company, (7th Cir. 2021).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________

No. 21-1186 SANDY POINT DENTAL, P.C., Plaintiff-Appellant,

v.

THE CINCINNATI INSURANCE COMPANY, Defendant-Appellee. ____________________

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division. No. 20 CV 2160 — Robert W. Gettleman, Judge. ____________________

No. 21-1559 THE BEND HOTEL DEVELOPMENT COMPANY, LLC, Plaintiff-Appellant,

THE CINCINNATI INSURANCE COMPANY, Defendant-Appellee. 2 Nos. 21-1186, 21-1559 & 21-1203

___________________

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division. No. 20 CV 4636 — Elaine E. Bucklo, Judge. ____________________

No. 21-1203 TJBC, INC., Plaintiff-Appellant,

THE CINCINNATI INSURANCE COMPANY, Defendant-Appellee. ____________________

Appeal from the United States District Court for the Southern District of Illinois. No. 3:20-cv-00815-DWD — David W. Dugan, Judge. ____________________

ARGUED SEPTEMBER 10, 2021 — DECIDED DECEMBER 9, 2021 ____________________

Before MANION, WOOD, and HAMILTON, Circuit Judges. WOOD, Circuit Judge. No one doubts that the COVID-19 pandemic has inflicted enormous losses on businesses, large and small, throughout the country. It is therefore not sur- prising that an avalanche of insurance claims has followed in the wake of the pandemic, as the suffering businesses look for assistance in absorbing those losses. We resolve three such claims in this opinion—those brought by plaintiffs Nos. 21-1186, 21-1559 & 21-1203 3

Sandy Point Dental, P.C. (“Sandy Point”), the Bend Hotel Development Company (“Bend Hotel”), and TJBC, Inc. (“TJBC”). We refer to the plaintiffs collectively as the Busi- nesses unless the context requires otherwise. Each Business was required to close or dramatically scale back its operations in response to a series of executive orders issued by Illinois Governor J. B. Pritzker in an effort to curb the spread of the virus in the state. The Businesses held ma- terially identical commercial-property insurance policies, sold by the same insurer, the Cincinnati Insurance Company (“Cincinnati”). In brief, these policies provided coverage for income losses sustained on account of a suspension of opera- tions caused by “direct physical loss” to covered property. The policies also provided coverage for income losses sus- tained as a result of an action of civil authority prohibiting access to covered property, when such action was taken in response to “direct physical loss” suffered by other property. Each Business filed claims for coverage under its policy, and each time, Cincinnati denied the claim and litigation en- sued. In all three cases, the responsible district court granted Cincinnati’s motion to dismiss for failure to state a claim up- on which relief could be granted. See FED. R. CIV. P. 12(b)(6). Each court reasoned that the Business before it did not ade- quately allege that either the virus that causes COVID-19, SARS-CoV-2, or the resulting closure orders caused “direct physical loss” to property. All three Businesses appealed; we resolve those appeals in this consolidated opinion. Our review is de novo, but we find little to criticize in the district courts’ resolutions of these cases, and so we affirm the judgments of dismissal. In doing so, we join the four cir- cuits that so far have addressed the central question before 4 Nos. 21-1186, 21-1559 & 21-1203

us: whether loss of use, unaccompanied by any physical al- teration to property, may constitute “direct physical loss” under the relevant insurance policies. See Santo’s Italian Café LLC v. Acuity Ins. Co., 15 F.4th 398 (6th Cir. 2021); Oral Sur- geons, P.C. v. Cincinnati Ins. Co., 2 F.4th 1141 (8th Cir. 2021); Mudpie, Inc. v. Travelers Cas. Ins. Co., 15 F.4th 885 (9th Cir. 2021); Gilreath Family & Cosmetic Dentistry, Inc. v. Cincinnati Ins. Co., --- F. App’x ---, 2021 WL 3870697 (11th Cir. Aug. 31, 2021). I On March 15, 2020, in response to the rapidly expanding COVID-19 pandemic, Governor Pritzker issued an order mandating the temporary closure to the public of restau- rants, bars, and movie theaters. Exec. Order No. 2020-07. On March 20, 2020, he issued another order, this time requiring all non-essential businesses to shut down partially and tem- porarily. Exec. Order No. 2020-10. As a result of these orders, Sandy Point, a private dental group, had to suspend the elective and routine dental services that make up 95% of its business, and limit its practice to emergency services. TJBC, which owns and operates two food and beverage establishments, was required to suspend in-person dining and limit its services to delivery and take-out. This lasted until June 26, 2020, when a superseding order permitted it to serve patrons in an outdoor setting, in parties of six persons or fewer, and in a socially distant manner. Bend Hotel’s allegations are less concrete, and so it is harder to tell what precisely these orders demanded of it. Its complaint alleges only that the first order “prohibited the Nos. 21-1186, 21-1559 & 21-1203 5

public from accessing [Bend Hotel’s] restaurants,” and that the second order “clos[ed] all ‘non-essential’ businesses in Illinois, including all restaurants … and much of hotel operations.” But as Cincinnati points out, although the orders prohibited in-person dining, they permitted delivery (including room service, in the case of a hotel) and take- away. The second order even designated hotels as essential businesses, “to the extent used for lodging and delivery or carry-out food services.” Exec. Order No. 2020-10, ¶ 12.v. Based on the complaint and text of the orders, which are official documents that have legal effect, and thus a proper subject of judicial notice, we proceed on the assumption that Bend Hotel did limit its restaurant services to delivery and take-out, and that its lodging services suffered from reduced capacity caused by restrictions on non-essential travel and social-distancing requirements. To recover the income losses occasioned by the closure orders, the Businesses turned to commercial property insur- ance policies sold to each of them by Cincinnati. The relevant provisions read as follows: SECTION A. COVERAGE. We will pay for direct “loss” to Covered Property at the “premises” caused by or resulting from any Cov- ered Cause of Loss. … (1) Business Income We will pay for the actual loss of “Business Income” and “Rental Value” you sustain due to the necessary “suspension” of your “operations” during the “period of restoration.” The “suspension” must be caused by direct physical “loss” to property at a “premises” 6 Nos. 21-1186, 21-1559 & 21-1203

caused by or resulting from any Covered Cause of Loss. … (2) Extra Expense We will pay “Extra Expense” you incur during the “period of restoration”: (a) To avoid or minimize the “suspension” of business and to continue “operations” … (b) To minimize the “suspension” of business if you cannot continue “operations”. … (3) Civil Authority We will pay for the actual loss of “Business Income” you sustain and “Extra Expense” you incur caused by action of civil authority that prohibits access to the “premises” due to direct physical “loss” to property, other than at the “premises, caused by or resulting from any Covered Cause of Loss. … SECTION G. DEFINITIONS … 9. “Loss” means accidental loss or damage.

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