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524 F.Supp.3d 242
S.D.N.Y.
2021
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Background

  • Food for Thought, a New York catering business, purchased a Business Owners Policy from Sentinel that covered "Business Income" and "Extra Expense" only when suspension was "caused by direct physical loss of or physical damage to property," and included a Civil Authority clause requiring access be "specifically prohibited by order of a civil authority" as a direct result of a covered loss to property in the immediate area.
  • In March 2020 New York State and City issued COVID-19 executive orders closing non-essential businesses and prohibiting gatherings; Food for Thought suspended operations and submitted claims under the Business Income, Extra Expense, and Civil Authority provisions.
  • Sentinel denied the claim; Food for Thought sued for breach of contract and declaratory relief. Sentinel moved to dismiss under Rule 12(b)(6).
  • The Amended Complaint alleged loss of use of the premises and asserted the likely presence of COVID-19 on the property as the basis for physical loss or damage; it relied on state and local executive orders and public statements.
  • The district court reviewed New York law on insurance-contract interpretation and precedent requiring physical damage or loss to trigger such coverage, and granted Sentinel’s motion, dismissing all counts for failure to plead a covered "direct physical loss or physical damage" or a civil-authority order that specifically prohibited access as a direct result of physical damage to nearby property.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Business Income coverage was triggered by COVID-19 closures Loss of use and likely presence of the virus on premises constitute a "direct physical loss" Policy requires actual physical loss or physical damage to the insured property Dismissed — allegations of loss of use or speculative viral presence insufficient under NY law requiring physical damage/loss
Whether Extra Expense coverage was triggered Extra expenses incurred due to shutdown are covered because they result from the same "direct physical loss" Same threshold applies as Business Income; no physical loss alleged Dismissed — Extra Expense requires physical loss/damage and plaintiff failed to plead it
Whether Civil Authority coverage was triggered by executive orders State and city closure orders that prevented normal operation invoked Civil Authority coverage Civil Authority requires access be "specifically prohibited" by order and to result from physical loss to nearby property Dismissed — orders did not specifically prohibit access and plaintiff did not plead physical damage to property in the immediate area

Key Cases Cited

  • Roundabout Theatre Co. v. Cont'l Cas. Co., 751 N.Y.S.2d 4 (App. Div. 2002) (interpreting similar policy language to require physical damage or loss to insured property for business-interruption coverage)
  • United Air Lines, Inc. v. Ins. Co. of State of Pa., 439 F.3d 128 (2d Cir. 2006) (denying BI coverage where government shutdown after 9/11 did not stem from physical damage to insured property)
  • Port Auth. of N.Y. & N.J. v. Affiliated FM Ins. Co., 311 F.3d 226 (3d Cir. 2002) (physical contamination evidence may support coverage where physical alteration or contamination is shown)
  • Studio 417, Inc. v. Cincinnati Ins. Co., 478 F. Supp. 3d 794 (W.D. Mo. 2020) (held COVID-19 contamination allegations could state a physical loss claim under that jurisdiction’s law)
  • Abner, Herrman & Brock, Inc. v. Great N. Ins. Co., 308 F. Supp. 2d 331 (S.D.N.Y. 2004) (Civil Authority coverage triggered only when access was completely denied by civil order)
  • Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007) (plausibility pleading standard)
  • Ashcroft v. Iqbal, 556 U.S. 662 (2009) (legal conclusions and speculative assertions are insufficient to plead plausibly)
  • Olin Corp. v. Am. Home Assurance Co., 704 F.3d 89 (2d Cir. 2012) (principles of contract/insurance policy interpretation under New York law)
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Case Details

Case Name: Food For Thought Caterers, Corp. v. The Hartford Financial Services Group, Inc.
Court Name: District Court, S.D. New York
Date Published: Mar 6, 2021
Citations: 524 F.Supp.3d 242; 1:20-cv-03418
Docket Number: 1:20-cv-03418
Court Abbreviation: S.D.N.Y.
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    Food For Thought Caterers, Corp. v. The Hartford Financial Services Group, Inc., 524 F.Supp.3d 242