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