Water Sports Kauai, Inc. v. Fireman's Fund Insurance Company

CourtDistrict Court, N.D. California
DecidedNovember 9, 2020
Docket3:20-cv-03750
StatusUnknown

This text of Water Sports Kauai, Inc. v. Fireman's Fund Insurance Company (Water Sports Kauai, Inc. v. Fireman's Fund 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
Water Sports Kauai, Inc. v. Fireman's Fund Insurance Company, (N.D. Cal. 2020).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 WATER SPORTS KAUAI, INC., Case No. 20-cv-03750-WHO

8 Plaintiff, ORDER GRANTING THE MOTION 9 v. TO DISMISS

10 FIREMAN'S FUND INSURANCE Re: Dkt. No. 39 COMPANY, et al., 11 Defendants.

12 13 Plaintiff Water Sports Kauai, Inc., a Hawaii corporation, dba Sand People (“Sand People”), 14 shut down its businesses (twelve stores on three islands that sell gifts, artwork, décor, jewelry, 15 glassware, coastal furnishing, apparel, soaps, lotions, candles, and books) six months ago due both 16 to the spread of the coronavirus and to directives from Hawaii’s Governor limiting the operation 17 of non-essential businesses, including Sand People’s stores. Amended Complaint (“AC”), Dkt. 18 No. 38, ¶ 56. It submitted a claim for coverage under an insurance policy (Policy) issued by 19 defendants Fireman’s Fund Insurance Company, National Surety Corporation, and Allianz Global 20 Risks US Insurance Co (collectively, “defendants”) under the “Lost Business Income” and “Civil 21 Authority” provisions. AC ¶ 4. That claim was denied, and Sand People filed suit. 22 I agree with the vast majority of cases that have addressed materially similar policy 23 provisions and facts. Sand People has failed to plausibly plead Business Income or Civil 24 Authority coverage. Its claims are dismissed with limited leave to amend. 25 BACKGROUND 26 The Policy provides that the defendants will “pay for direct physical loss of or damage 27 to Covered Property at the premises described in the Declarations caused by or resulting from any 1 3. Covered Causes of Loss

2 RISKS OF DIRECT PHYSICAL LOSS unless the loss is [excluded]. 3 Id. at 31. g. Business Income 4 We will pay for the actual loss of Business Income you sustain due to 5 the necessary suspension of your operations during the period of restoration. 6 . . .

7 The suspension must be caused by direct physical loss of or damage to property at the described premises, including personal property in 8 the open (or in a vehicle) within 100 feet, caused by or resulting from any Covered Causes of Loss. 9 Id. at 33. 10 h. Extra Expense 11 We will pay necessary Extra Expense you incur during the period of 12 restoration that you would not have incurred if there had been no direct physical loss or damage to property at the described premises, 13 including personal property in the open (or in a vehicle) within 100 feet of the described premises, caused by or resulting from a Covered 14 Cause of Loss

15 Id. at 34.

16 i. Civil Authority

17 We will pay for the actual loss of Business Income you sustain and necessary Extra Expense caused by action of civil authority that 18 prohibits access to the described premises due to direct physical loss of or damage to property, other than at the described premises, caused 19 by or resulting from any Covered Cause of Loss. This coverage will apply for a period of up to two consecutive weeks from the date of 20 that action.

21 Id. at 35.

22 15. Period of Restoration means the period of time that:

23 a. Begins with the date of direct physical loss or damage caused by or resulting from any Covered Cause of Loss at the described premises; 24 and b. Ends on the date when the property at the described premises 25 should be repaired, rebuilt or replaced with reasonable speed and similar quality. 26 Id. at 63. 27 Based on the spread of the coronavirus, directives from Hawaii’s Governor limiting the 1 operation of non-essential businesses, including Sand People’s stores, and government closure 2 orders issued in 49 other states/jurisdictions as a result of the coronavirus pandemic, and 3 defendants’ denial of requests for coronavirus coverage under similarly worded policies, Sand 4 People asserts the following claims on behalf of a class and a subclass: (1) Breach of Contract; (2) 5 Breach of Covenant of Good Faith and Fair Dealing; (3) Unfair or Deceptive Business Practices; 6 and (4) Declaratory Relief. 7 The class and subclass are defined as:

8 Class All persons or entities in the United States (including its territories 9 and the District of Columbia) who own an interest in a business that was insured by Defendants in March 2020 and made (or attempted to 10 make) a claim with Defendants arising from lost business income (or other losses related to business interruption) at that business related 11 to COVID-19, and did not receive coverage for that claim.

12 Hawaii Subclass All persons or entities in Hawaii who own an interest in a business 13 that was insured by Defendants in March 2020 and made (or attempted to make) a claim with Defendants arising from lost business 14 income (or other losses related to business interruption) at that business related to COVID-19, and did not receive coverage for that 15 claim.

16 AC ¶ 123. 17 LEGAL STANDARD 18 In Hawaii, “‘because insurance policies are contracts of adhesion and are premised on 19 standard forms,’” the contracts must be “construed liberally” in favor of the insured and based on 20 the reasonable expectations of a layperson, with any ambiguities being resolved against the 21 insurer. Hart v. Ticor Title Ins. Co., 126 Hawai'i 448, 456 (2012) (quoting Dairy Road Partners v. 22 Island Ins. Co., Ltd., 92 Hawai‘i 398, 411- 414 (2000)); see also Great Divide Ins. Co. v. AOAO 23 Maluna Kai Estates, 492 F. Supp. 2d 1216, 1226–27 (D. Haw. 2007) (“A policy provision is not 24 ambiguous just because the insurer and insured disagree over the interpretation of the terms of a 25 policy. . . . Ambiguity exists only when the policy ‘taken as a whole, is reasonably subject to 26 differing interpretation.’” (quoting Oahu Transit Servs., Inc. v. Northfield Ins. Co., 107 Hawai‘i 27 231, 236 n. 7 (Haw.2005)). 1 DISCUSSION 2 Defendants move to dismiss Sand People’s claims because the mere threat of coronavirus 3 is insufficient to show a “direct physical loss of or damage to” its covered property and the 4 government closures orders are likewise insufficient to show the same. Defendants note that 5 district courts around the country – including ones in this District and throughout the Ninth Circuit 6 – have rejected identical claims under similar policies and that the only two federal cases Sand 7 People identifies in support of their claims – both from the Western District of Missouri – are 8 distinguishable or wrongly decided. Sand People responds that this case is different from the bulk 9 of district court cases relied on by defendants because (i) it specifically alleges that it had to close 10 its properties due directly to the coronavirus’ rapid spread and imminent threat to its businesses, 11 and (ii) the vast majority of district court cases dismissing for lack of coverage also had virus 12 exclusions limitations in their policies. 13 As described below, I will follow the overwhelming majority of courts that have 14 determined that the mere threat of coronavirus cannot cause a “direct physical loss of or damage 15 to” covered property as required under the Policy. That resolves the issue of coverage under the 16 Business Income and Civil Authority provisions as a result of both the spread of coronavirus and 17 the government closure orders. 18 I. LOST BUSINESS INCOME 19 Sand People contends that “lost business income” coverage was triggered by both the 20 “physical” spread of the coronavirus and, independently, the government closure orders. I will 21 address each argument in turn. 22 A. Spread of Coronavirus 23 Sand People asserts that it adequately alleged closure because of the “imminent” threat of 24 coronavirus at their properties.

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Water Sports Kauai, Inc. v. Fireman's Fund Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/water-sports-kauai-inc-v-firemans-fund-insurance-company-cand-2020.