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56 F.4th 931
10th Cir.
2023
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Background

  • Sagome, Inc. operated L’Hostaria in Aspen and was insured by The Cincinnati Insurance Company under a commercial policy covering "accidental physical loss or accidental physical damage" and business-income and civil-authority losses tied to such covered loss.
  • COVID-19 pandemic and government orders in March 2020 forced L’Hostaria to suspend operations temporarily; it later reopened with limited services.
  • Sagome notified Cincinnati of its losses; Cincinnati denied coverage, asserting the policy requires physical loss or damage, which COVID-19 did not cause.
  • Sagome sued for breach of contract, bad faith, Colorado insurance-law violations, and declaratory relief; Cincinnati moved to dismiss under Rule 12(b)(6).
  • The district court dismissed with prejudice, finding no direct physical loss or damage and no triggering civil-authority coverage; the Tenth Circuit affirmed under Colorado law.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether COVID-19 caused "direct physical loss or accidental physical damage" to insured property Sagome: presence/transmission of virus and loss of use rendered property unsafe—thus physical loss/damage Cincinnati: policy requires tangible physical injury or alteration; temporary loss of use is not physical loss Held: No. COVID-19 did not cause physical loss/damage under the policy plain meaning
Whether "loss of use" (property rendered unsafe/dangerous) qualifies as physical loss under Colorado precedent (Western Fire) Sagome: Western Fire shows loss of use can be physical loss without visible alteration Cincinnati: Western Fire is distinguishable; it required infiltration/saturation rendering property uninhabitable Held: Distinguishable. Western Fire permits recovery only where property is rendered uninhabitable/unsafe by physical contamination; that did not occur here
Whether civil-authority coverage is triggered by government closure orders due to COVID-19 elsewhere Sagome: government prohibitions of access after virus spread should trigger coverage Cincinnati: civil-authority coverage requires covered loss to other property causing the authority action; virus presence is not a covered loss Held: No. Civil-authority coverage not triggered because there was no covered physical loss to other property

Key Cases Cited

  • Goodwill Industries of Central Oklahoma, Inc. v. Philadelphia Indemnity Ins. Co., 21 F.4th 704 (10th Cir. 2021) (refused to equate temporary loss of use from COVID-19 restrictions with direct physical loss)
  • Western Fire Insurance Co. v. First Presbyterian Church, 437 P.2d 52 (Colo. 1968) (Colorado Supreme Court: contamination saturating property to the point of uninhabitability can constitute direct physical loss)
  • U.S. Fidelity & Guaranty Co. v. Budget Rent‑A‑Car Systems, Inc., 842 P.2d 208 (Colo. 1992) (contract terms must be read together; cannot isolate words like "physical")
  • Dukes Clothing, LLC v. Cincinnati Ins. Co., 35 F.4th 1322 (11th Cir. 2022) (COVID-19 presence does not physically alter property within plain meaning)
  • Ferrer & Poirot, GP v. Cincinnati Ins. Co., 36 F.4th 656 (5th Cir. 2022) (COVID-19 harms people but does not physically damage property under policy language)
  • Adams‑Arapahoe Joint School District No. 28‑J v. Continental Ins. Co., 891 F.2d 772 (10th Cir. 1989) (corrosion causing unsafe, unusable school constituted covered loss under Western Fire)
  • Verveine Corp. v. Strathmore Ins. Co., 184 N.E.3d 1266 (Mass. 2022) (mere transient presence of virus does not equal loss or damage; contamination requiring active remediation might)
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Case Details

Case Name: Sagome v. Cincinnati Insurance Company
Court Name: Court of Appeals for the Tenth Circuit
Date Published: Jan 3, 2023
Citations: 56 F.4th 931; 21-1359
Docket Number: 21-1359
Court Abbreviation: 10th Cir.
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    Sagome v. Cincinnati Insurance Company, 56 F.4th 931