Westfield Area Ymca v. the North River Insurance Company

CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 21, 2024
DocketA-1910-21
StatusUnpublished

This text of Westfield Area Ymca v. the North River Insurance Company (Westfield Area Ymca v. the North River Insurance Company) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Westfield Area Ymca v. the North River Insurance Company, (N.J. Ct. App. 2024).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-1910-21

WESTFIELD AREA YMCA, YMCA OF MADISON NEW JERSEY, INC., d/b/a MADISON AREA YMCA, LAKELAND HILLS FAMILY YMCA, WYCKOFF FAMILY YMCA, INC., and WEST MORRIS YMCA,

Plaintiffs-Appellants,

v.

THE NORTH RIVER INSURANCE COMPANY, UNITED STATES FIRE INSURANCE COMPANY, and PHILADELPHIA INDEMNITY INSURANCE COMPANY,

Defendants-Respondents. ____________________________

Argued November 28, 2023 – Decided February 21, 2024

Before Judges Gooden Brown and Natali. On appeal from the Superior Court of New Jersey, Law Division, Union County, Docket No. L-2584-20.

Carl A. Salisbury argued the cause for appellants (Bramnick, Rodriguez, Grabas, Arnold & Mangan, attorneys; Carl A. Salisbury, on the briefs).

Kristin V. Gallagher argued the cause for respondents The North River Insurance Company and United States Fire Insurance Company (Kennedys CMK LLP, attorneys; Kristin V. Gallagher, Mark F. Hamilton, and Tyler J. Pierson, of counsel and on the brief).

Stephen E. Goldman (Robinson & Cole LLP) of the Connecticut bar, admitted pro hac vice, argued the cause for respondent Philadelphia Indemnity Insurance Company (Walsh Pizzi O'Reilly Falanga LLP, and Stephen E. Goldman, attorneys; Liza M. Walsh and William T. Walsh, Jr., on the brief).

PER CURIAM

In this insurance coverage action, five YMCAs, plaintiffs Westfield Area

YMCA, YMCA of Madison New Jersey, doing business as Madison Area

YMCA, Lakeland Hills Family YMCA, Wyckoff Family YMCA Inc., and West

Morris Area YMCA, appeal from two January 18, 2022, Law Division orders

granting summary judgment dismissal of their complaint against their respective

insurance companies, defendants the North River Insurance Company (North

River), United States Fire Insurance Company (US Fire), and Philadelphia

A-1910-21 2 Indemnity Insurance Company (Philadelphia), three commercial property and

casualty insurance carriers.

The complaint sought business interruption coverage under the respective

commercial property insurance policies for business income losses sustained

during the pandemic caused by the SARS-CoV-2 virus (the COVID-19

pandemic) that prompted the Governor to issue mandatory closure orders. In

dismissing the complaint, Judge Alan G. Lesnewich determined plaintiffs'

business income losses were not related to any "direct physical loss of or damage

to" the insured properties, prerequisites to coverage. The judge also ruled

coverage was barred by the virus exclusions contained in the policies and the

doctrine of regulatory estoppel did not invalidate the exclusions. We agree and

affirm substantially for the reasons articulated in the judge's statement of

reasons.

I.

We glean these facts from the motion record, viewed in the light most

favorable to plaintiffs. Angland v. Mountain Creek Resort, Inc., 213 N.J. 573,

577 (2013) (citing Brill v. Guardian Life Ins. Co. of Am., 142 N.J. 520, 523

(1995)). Plaintiffs are non-profit community service organizations that operate

numerous facilities throughout the State to promote their mission of advancing

A-1910-21 3 youth development, healthy living, and social responsibility. To that end,

plaintiffs provide a variety of programs and services in their facilities, including

child-care, early childhood education, summer youth camps, youth and teen

sports programs, youth and teen counseling, health and wellness classes for

adults, and physical fitness training centers. Plaintiffs' facilities are insured by

the insurance policies at issue in this case (the insured properties).

Defendant North River issued a commercial package property insurance

policy to plaintiff Westfield YMCA for the policy period December 31, 2019 ,

to December 31, 2020. Defendant US Fire issued commercial package property

insurance policies to plaintiffs Madison YMCA from December 31, 2019, to

December 31, 2020, to West Morris YMCA from January 1, 2020 to January 1,

2021, and to Lakeland Hills YMCA from March 31, 2019 to March 31, 2020.

Defendant Philadelphia issued a commercial package property insurance policy

to plaintiff Wyckoff YMCA from April 1, 2019 to April 1, 2020.

All the relevant policy provisions in the various insurance policies are

identical. The Building and Personal Property Coverage Form provides that

defendants "will pay for direct physical loss of or damage to Covered Property

at the [plaintiffs'] premises . . . caused by or resulting from any Covered Cause

A-1910-21 4 of Loss," which is defined as "direct physical loss unless the loss is excluded or

limited in [the policies]."

The policies' Business Income (And Extra Expense) Coverage Form

provides that:

[Defendants] will pay for the actual loss of Business Income [plaintiffs] sustain due to the necessary "suspension" of [plaintiffs'] "operations" during the "period of restoration". The "suspension" must be caused by direct physical loss of or damage to property at [the insured properties] and for which a Business Income Limit Of Insurance is shown in the Declarations. The loss or damage must be caused by or result from a Covered Cause of Loss. [1]

"Business Income" is defined as "[n]et [i]ncome ([n]et [p]rofit or [l]oss before

income taxes) that would have been earned or incurred;" and "[c]ontinuing

normal operating expenses incurred, including payroll."

The policies contain two exclusions that are germane to this appeal. First,

the "Exclusion of Loss due to Virus or Bacteria" Endorsement (the Virus

1 The policies also include "Extra Expense Coverage," which covers "necessary expenses [plaintiffs] incur during the 'period of restoration' that [plaintiffs] would not have incurred if there had been no direct physical loss or damage to property caused by or resulting from a Covered Cause of Loss." However, such coverage is only provided if "Business Income Coverage applies at [the insured properties]." A-1910-21 5 Exclusion) provides that defendants "will not pay for loss or damage caused by

or resulting from any virus, bacterium or other micro-organism that induces or

is capable of inducing physical distress, illness or disease." The Virus Exclusion

"applies to all coverage under all forms and endorsements . . . , including but

not limited to forms or endorsements that cover . . . business income[ and] extra

expense."

Second, in the "Causes of Loss – Special Form," the policies contain an

Ordinance Or Law Exclusion, which explicitly states that defendants "will not

pay for loss or damage caused directly or indirectly" by "[t]he enforcement of

or compliance with any ordinance or law . . . [r]egulating the . . . use . . . of any

property." The Ordinance Or Law Exclusion "applies whether the loss results

from . . . [a]n ordinance or law that is enforced even if the property has not been

damaged" and "[s]uch loss or damage is excluded regardless of any other cause

or event that contributes concurrently or in any sequence to the loss."

Finally, the policies issued by North River and US Fire contained an

additional "Food Contamination and Communicable Disease Coverage

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Westfield Area Ymca v. the North River Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/westfield-area-ymca-v-the-north-river-insurance-company-njsuperctappdiv-2024.