From Casetext: Smarter Legal Research

Protege Rest. Partners, LLC v. Sentinel Ins. Co.

United States Court of Appeals, Ninth Circuit
Oct 25, 2022
No. 21-16814 (9th Cir. Oct. 25, 2022)

Opinion

21-16814

10-25-2022

PROTEGE RESTAURANT PARTNERS LLC, on Behalf of Itself and All Others Similarly Situated, Plaintiff-Appellant, v. SENTINEL INSURANCE COMPANY, LIMITED, DBA The Hartford, Defendant-Appellee.


NOT FOR PUBLICATION

Submitted October 21, 2022 [**]San Francisco, California

Appeal from the United States District Court for the Northern District of California, D.C. No. 5:20-cv-03674-BLF; Beth Labson Freeman, District Judge, Presiding

Before: GILMAN,[***] CALLAHAN, and VANDYKE, Circuit Judges.

MEMORANDUM [*]

Plaintiff-Appellant Protege Restaurant Partners, LLC (Protege) appeals from the district court's dismissal of its complaint under Federal Rule of Civil Procedure 12(b)(6). We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

Protege owns and operates a restaurant in Palo Alto, California. In January 2020, it purchased a "business interruption" insurance policy (the Policy) from Defendant-Appellee Sentinel Insurance Company (Sentinel). The Policy provides, in relevant part, three types of business interruption coverage: Civil Authority, Business Income, and Extra Expense. According to the Policy, these coverages apply only if there has been "direct physical loss or physical damage" or "risks of physical loss" to property.

In March 2020, Protege filed a claim under the Policy, seeking coverage for business interruptions caused by COVID-19. After Sentinel denied its claim, Protege sued. In February 2021, the district court dismissed Protege's complaint with leave to amend, finding that each of the Civil Authority, Business Income, and Extra Expense coverages required direct physical damage or loss and that Protege did "not adequately plead that it suffered a loss under the unambiguous ... language of the Policy." The following month, Protege filed an amended complaint, which the court dismissed in September 2021, finding that Protege had failed to remedy the deficiencies identified in the court's prior dismissal order. This timely appeal followed.

"We review de novo an order granting a motion to dismiss for failure to state a claim under [Rule] 12(b)(6)." Mudpie, Inc. v. Travelers Cas. Ins. Co. of Am., 15 F.4th 885, 889 (9th Cir. 2021). In considering a Rule 12(b)(6) motion, we ask whether the complaint contains "sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face." In re Dynamic Random Access Memory (DRAM) Indirect Purchaser Antitrust Litig., 28 F.4th 42, 44-45 (9th Cir. 2022) (citing Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). Because California law controls our interpretation of the Policy, we "are bound to follow the decisions of the state's highest court, and when the state supreme court has not spoken on an issue, we must determine what result the court would reach based on state appellate court opinions, statutes[,] and treatises." Mudpie, Inc., 15 F.4th at 889 (quoting Diaz v. Kubler Corp., 785 F.3d 1326, 1329 (9th Cir. 2015)). "We will ordinarily accept the decision of an intermediate appellate court as the controlling interpretation of state law." Id. (quoting Tomlin v. Boeing Co., 650 F.2d 1065, 1069 n.7 (9th Cir. 1981)).

In its opening brief, Protege attempts to distinguish this case from others concerning nearly identical insurance policies by arguing that, unlike other plaintiffs, Protege alleges that "the presence and contamination of [its] property by COVID-19 ... satisf[ies] the Policy's 'direct physical loss of or physical damage to property' requirement." But after Protege filed its opening brief, the California Court of Appeal issued United Talent Agency v. Vigilant Insurance Co., 77 Cal.App. 5th 821 (2022), and Musso &Frank Grill Co. v. Mitsui Sumitomo Insurance USA Inc., 77 Cal.App. 5th 753 (2022), which directly undermine Protege's argument.

In United Talent Agency, the court considered an insurance policy that provided materially identical coverage to the Policy here. See 77 Cal.App. 5th at 824-25. And like Protege, the plaintiff in United Talent Agency "asserted that the presence of [COVID-19] itself could constitute physical damage." Id. at 826. The court rejected this assertion, however, holding that the "'mere loss of use of physical property to generate business income, without any other physical impact on the property, does not give rise to coverage for direct physical loss.'" Id. at 834 (quoting Inns-By-The-Sea v. California Mut. Ins., 71 Cal.App. 5th 688, 705-06 (2021)). Rather, as the court had previously held, "there must be some physicality to the loss of property-e.g., a physical alteration, physical contamination, or physical destruction." Inns-by-the-Sea, 71 Cal.App. 5th at 707. And although COVID-19 "may affect how people interact with and within a particular space," "the presence or potential presence of the virus does not constitute direct physical damage or loss" because it is "a ubiquitous virus transmissible among people and untethered to any property." United Talent Agency, 77 Cal.App. 5th at 838 (emphasis added). Thus, the plaintiff's insurance policy in United Talent Agency "did not cover losses attributable to [COVID-19]." Id. at 841.

The same is true here. Although COVID-19 caused an interruption in Protege's business, the virus did not cause "direct physical loss or physical damage" or "risks of physical loss" as California courts have interpreted these phrases. Consequently, Protege cannot recover under the Policy for its COVID-19 related business losses. See Musso &Frank Grill, 77 Cal.App. 5th at 760 ("At this point, there is no real dispute. Under California law, a business interruption policy that covers physical loss and damages does not provide coverage for losses incurred by reason of the COVID-19 pandemic.").

Protege acknowledges United Talent Agency and Musso &Frank Grill in its reply brief, but argues that "there is 'convincing evidence that the state's supreme court likely would not follow' those decisions on Protege's alleged facts." Specifically, Protege argues that, in Inns-By-The-Sea, the California Court of Appeal "recognized the possibility of business-interruption insurance coverage for direct physical damage to property by COVID-19 in the unique circumstance where the coronavirus is present on and within the covered property and the policyholder alleges that such contamination caused the suspension of its operations." But this "possibility" was simply a hypothetical discussed by the court in Inns-By-The-Sea and is in no way binding on any California court-let alone the Supreme Court of California. The California Court of Appeal said as much in United Talent Agency. 77 Cal.App. 5th at 839 ("[A] discussion of a hypothetical scenario is not a statement of California law[.]"). But more importantly, the court in United Talent Agency considered the hypothetical Protege relies on and explicitly rejected it. Id. at 839-40.

AFFIRMED.

[*] This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3.

[**] The panel unanimously concludes this case is suitable for decision without oral argument. See Fed. R. App. P. 34(a)(2).

[***] The Honorable Ronald Lee Gilman, United States Circuit Judge for the U.S. Court of Appeals for the Sixth Circuit, sitting by designation.


Summaries of

Protege Rest. Partners, LLC v. Sentinel Ins. Co.

United States Court of Appeals, Ninth Circuit
Oct 25, 2022
No. 21-16814 (9th Cir. Oct. 25, 2022)
Case details for

Protege Rest. Partners, LLC v. Sentinel Ins. Co.

Case Details

Full title:PROTEGE RESTAURANT PARTNERS LLC, on Behalf of Itself and All Others…

Court:United States Court of Appeals, Ninth Circuit

Date published: Oct 25, 2022

Citations

No. 21-16814 (9th Cir. Oct. 25, 2022)

Citing Cases

Happy Valley Rd. v. AmGUARD Ins. Co.

See, e.g., id. at 892-93 (allegations that “Stay at Home orders temporarily prevented [the plaintiff] from…

Good George, LLC v. The Cincinnati Ins. Co.

; Protege Rest. Partners LLC v. Sentinel Ins. Co., 2022 WL 14476377, at *5 (9th Cir. Oct. 25, …