Dukes Clothing, LLC v. The Cincinnati Insurance Company ( 2022 )


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  • USCA11 Case: 21-11974     Date Filed: 06/06/2022    Page: 1 of 14
    [PUBLISH]
    In the
    United States Court of Appeals
    For the Eleventh Circuit
    ____________________
    No. 21-11974
    ____________________
    DUKES CLOTHING, LLC,
    Plaintiff-Appellant,
    versus
    THE CINCINNATI INSURANCE COMPANY,
    Defendant-Appellee.
    ____________________
    Appeal from the United States District Court
    for the Northern District of Alabama
    D.C. Docket No. 7:20-cv-00860-GMB
    ____________________
    USCA11 Case: 21-11974       Date Filed: 06/06/2022   Page: 2 of 14
    2                      Opinion of the Court               21-11974
    Before NEWSOM, TJOFLAT, and HULL, Circuit Judges.
    HULL, Circuit Judge:
    This case presents an increasingly common question of
    insurance coverage and its interaction with the COVID-19
    pandemic. The question here—arising under Alabama law—is
    whether an insurance policy that provides coverage for loss of
    business income caused by “accidental physical loss or accidental
    physical damage” to the insured’s property covers losses and
    expenses caused by COVID-19.
    Alabama’s Supreme Court and intermediate appellate
    courts have not (1) interpreted those coverage terms—physical loss
    or damage; or (2) determined whether losses and expenses caused
    by COVID-19 are covered under similar policies. However, our
    Court recently examined insurance policies with nearly identical
    terms and held those terms—physical loss or damage—plainly
    require some “tangible alteration” or “actual change” to the
    insured’s property and do not cover losses and expenses caused by
    COVID-19. See SA Palm Beach, LLC v. Certain Underwriters at
    Lloyd’s London, 
    32 F.4th 1347
    , 1358–59 (11th Cir. 2022) (applying
    Florida law); Henry’s La. Grill v. Allied Ins. Co. of Am., —F.4th—,
    No. 20-14156, 
    2022 WL 1815874
    , at *2–3 (11th Cir. June 3, 2022)
    (applying Georgia law). In reaching this conclusion, our Court
    observed that every federal and state appellate court to consider
    the issue has held that the presence of COVID-19 causes a business
    intangible harm, not physical loss or damage. See SA Palm Beach,
    32 F.4th at 1358–59; Henry’s, 
    2022 WL 1815874
    , at *3.
    USCA11 Case: 21-11974      Date Filed: 06/06/2022    Page: 3 of 14
    21-11974              Opinion of the Court                      3
    After review and with the benefit of oral argument, we
    conclude that Alabama appellate courts would reach the same
    result—which is that the policy here provides no coverage because
    COVID-19 did not cause physical loss or damage to the insured’s
    property. Thus we affirm the dismissal of Dukes’s complaint.
    I.    BACKGROUND
    In response to the COVID-19 pandemic, governments
    across the country imposed various occupancy limitations on non-
    essential businesses to slow the spread of the virus. Beginning in
    March 2020, Alabama’s Governor and State Health Officer issued a
    series of executive orders restricting operations of non-essential
    businesses, including retail stores.
    Dukes Clothing, LLC (“Dukes”) operated two clothing
    stores—one in Tuscaloosa, Alabama, and one in Mountain Brook,
    Alabama. As a result of the state orders and a customer’s exposure
    to COVID-19, Dukes was forced to close its doors. These closures
    resulted in lost business income for Dukes.
    Dukes’s insurer, The Cincinnati Insurance Company
    (“Cincinnati”), had issued an all-risk commercial insurance policy
    to Dukes, effective from September 10, 2018, to September 10,
    2021. Dukes submitted a claim under its policy to recover its loss
    of business income due to its store closures caused by COVID-19.
    Cincinnati denied the claim on the basis that Dukes’s income loss
    USCA11 Case: 21-11974             Date Filed: 06/06/2022         Page: 4 of 14
    4                          Opinion of the Court                        21-11974
    was not caused by a direct physical loss or damage to the insured’s
    property. We set forth the relevant coverage provisions. 1
    A. Dukes’s Policy
    The relevant form in Dukes’s policy is the “Business Income
    (and Extra Expense) Coverage Form.”
    On that form, the “Business Income” provision states that
    Cincinnati “will pay for the actual loss of ‘Business Income’” Dukes
    sustains “due to the necessary ‘suspension’” of its operations.
    However, “[t]he ‘suspension’ must be caused by direct ‘loss’ to
    property at ‘premises,’” and the coverage extends through “the
    ‘period of restoration’.” (emphases added).
    The policy provides that “words and phrases that appear in
    quotation marks have special meaning” defined in the policy. The
    terms “loss,” “suspension,” and “period of restoration” are all in
    quotation marks.
    Importantly here, the policy defines “loss” as “accidental
    physical loss or accidental physical damage.” (emphasis added).
    “Suspension” means “[t]he slowdown or cessation” of business
    activities. And the “[p]eriod of restoration . . . [b]egins at the time
    of direct ‘loss’,” and “[e]nds on the earlier of: (1) [t]he date when
    1 Dukes did not attach the policy to its complaint. But since Cincinnati at-
    tached the policy to its motion to dismiss, we can consider it at this stage be-
    cause the policy is “(1) central to the plaintiff’s claim and (2) undisputed.” Day
    v. Taylor, 
    400 F.3d 1272
    , 1275–76 (11th Cir. 2005).
    USCA11 Case: 21-11974       Date Filed: 06/06/2022     Page: 5 of 14
    21-11974               Opinion of the Court                        5
    the property at the ‘premises’ should be repaired, rebuilt, or
    replaced with reasonable speed and similar quality; or (2) [t]he date
    when business is resumed at a new permanent location.”
    Accordingly, the “suspension” that triggers “Business
    Income” coverage must be caused by direct “accidental physical
    loss or accidental physical damage” to the insured’s property. And
    the “period of restoration” begins at the time of the direct
    “accidental physical loss or physical damage,” and it ends either
    when the property is “repaired, rebuilt, or replaced,” or the
    “business is resumed at a new permanent location.” Further, the
    “Extra Expense” coverage is provided “only if . . . ‘Business
    Income’ coverage applies.”
    B. Dukes’s Lawsuit
    After denial of its claim, Dukes filed this action against
    Cincinnati, alleging breach of contract, bad faith, and negligence.
    Dukes’s complaint alleged that COVID-19 is a “causative agent of
    property damage.” Dukes asserted that it established business
    interruption loss at both its locations caused by COVID-19
    generally, civil authority orders, and a customer’s exposure to
    COVID-19.
    Cincinnati filed a motion to dismiss, which argued that
    Dukes’s complaint failed to state a claim because it did not allege a
    suspension caused by direct physical loss or damage. See Fed. R.
    Civ. P. 12(b)(6).      Specifically, Cincinnati contended that
    (1) COVID-19 did not cause physical loss or damage because the
    USCA11 Case: 21-11974           Date Filed: 06/06/2022       Page: 6 of 14
    6                         Opinion of the Court                    21-11974
    virus could be removed by traditional cleaning; (2) the policy
    required a tangible alteration of the property; and (3) the lack of a
    virus exclusion in the policy was irrelevant because there was no
    physical loss or damage to trigger coverage in the first place.
    In response, Dukes argued that Cincinnati breached its
    contract because all-risk policies, like the one here, “automatically
    cover[] any loss not explicitly omitted.” And Dukes contended that
    it plausibly alleged physical loss or damage because its complaint
    presented an “exhaustive review of why the COVID-19 novel
    coronavirus is considered to be a cause of physical loss or property
    damage.” As to bad faith, Dukes argued that Cincinnati “made a
    predetermined decision to deny the claim before it was made” and
    did not investigate Dukes’s claim.
    The magistrate judge granted Cincinnati’s motion to
    dismiss. 2 Because no Alabama appellate court had addressed
    whether COVID-19 constitutes a direct physical loss or damage to
    property, the magistrate judge relied on dictionary definitions and
    Alabama law’s tools of insurance contract construction. As to the
    policy, the magistrate judge determined that (1) direct “physical
    loss” or “physical damage” required an actual physical alteration to
    the property; and (2) COVID-19 did not constitute direct physical
    loss or damage to Dukes’s property. 3 The magistrate judge thus
    2 The parties consented to having a magistrate judge conduct the proceedings.
    3 Because there was no coverage, the magistrate judge (1) dismissed the bad
    faith and negligence claims; and (2) declined to address the pollution
    USCA11 Case: 21-11974          Date Filed: 06/06/2022        Page: 7 of 14
    21-11974                 Opinion of the Court                             7
    concluded that Dukes had not alleged facts sufficient to establish
    coverage under its policy.
    II.     STANDARD OF REVIEW
    We review de novo a dismissal for failure to state a claim.
    See Ellis v. Cartoon Network, Inc., 
    803 F.3d 1251
    , 1255 (11th Cir.
    2015). “[W]e take the factual allegations in the complaint as true
    and construe them in the light most favorable to the plaintiff.”
    Pielage v. McConnell, 
    516 F.3d 1282
    , 1284 (11th Cir. 2008). “To
    survive a motion to dismiss, a complaint must contain sufficient
    factual matter, accepted as true, to state a claim to relief that is
    plausible on its face.” Ashcroft v. Iqbal, 
    556 U.S. 662
    , 678, 
    129 S. Ct. 1937
    , 1949 (2009) (quotation marks omitted). To have a facially
    plausible claim, the complaint must “plead[] factual content that
    allows the court to draw the reasonable inference that the
    defendant is liable for the misconduct alleged.” 
    Id.
     In other words,
    the complaint must raise “more than a sheer possibility that a
    defendant has acted unlawfully.” 
    Id.
    We also review de novo a district court’s determination of
    state law. See SA Palm Beach, 32 F.4th at 1356.
    exclusion. Although Dukes at one point invoked the “Civil Authority”
    coverage in its policy, Dukes does not raise that coverage here so we do not
    address that provision.
    USCA11 Case: 21-11974          Date Filed: 06/06/2022   Page: 8 of 14
    8                      Opinion of the Court                 21-11974
    III.    DISCUSSION
    A. Alabama Law on Interpreting Insurance Policies
    When examining insurance policies, Alabama courts
    consider the language of the policy as a whole, not in isolation. See
    State Farm Fire & Cas. Co. v. Slade, 
    747 So. 2d 293
    , 309 (Ala. 1999).
    Whether an insurance policy is ambiguous is a question of law for
    the courts. See Crook v. Allstate Indem. Co., 
    314 So. 3d 1188
    , 1193
    (Ala. 2020).
    If a word or phrase is not defined in a policy, courts “should
    construe the word or phrase according to the meaning a person of
    ordinary intelligence would reasonably give it.” 
    Id.
     (quotation
    marks omitted). The words and phrases are thus “given a rational
    and practical construction.” Slade, 
    747 So. 2d at 309
    . If a word or
    phrase is genuinely ambiguous, the policy “should be construed
    liberally” in favor of the insured. Travelers Cas. & Sur. Co. v. Ala.
    Gas Corp., 
    117 So. 3d 695
    , 700 (Ala. 2012) (quotation marks
    omitted).
    “The terms of an insurance policy are ambiguous only if the
    policy’s provisions are reasonably susceptible to two or more
    constructions or there is reasonable doubt or confusion as to their
    meaning.” Slade, 
    747 So. 2d at
    308–09; see also B.D.B. v. State Farm
    Mut. Auto. Ins. Co., 
    814 So. 2d 877
    , 880 (Ala. Civ. App. 2001)
    (noting that Alabama courts have “looked to dictionary
    definitions”). Policy language is not rendered ambiguous just
    USCA11 Case: 21-11974       Date Filed: 06/06/2022     Page: 9 of 14
    21-11974               Opinion of the Court                        9
    because parties disagree about the meaning of a policy provision.
    See Travelers, 
    117 So. 3d at 699
    .
    There are no Alabama appellate court decisions interpreting
    the relevant terms here—physical loss or damage—or interpreting
    these types of all-risk policies in the COVID-19 context. As such,
    our duty is “to decide what the state courts would hold if faced
    with” the question of whether lost business income resulting from
    COVID-19 is covered by this all-risk insurance policy. Taylor v.
    Williams, 
    528 F.3d 847
    , 850 (11th Cir. 2008) (quotation marks
    omitted) (applying this duty to a question under Georgia law). To
    decide how Alabama appellate courts would interpret physical loss
    or damage, we first examine our Court’s decisions interpreting
    nearly identical terms under Florida and Georgia law.
    B. Eleventh Circuit Precedent
    This Court interpreted a similar insurance policy in SA Palm
    Beach. In that case, this Court consolidated four cases—all arising
    under Florida law—to determine whether the insureds’ respective
    all-risk insurance policies covered losses and expenses incurred as a
    result of COVID-19. 32 F.4th at 1350.
    Three of the policies at issue in SA Palm Beach had terms
    nearly identical to the terms in Dukes’s policy. See id. at 1351–54
    (reciting each of the three relevant policies). The three policies
    covered “actual loss of Business Income” if the suspension in the
    insureds’ business operations was caused by “direct physical loss of
    or damage to property.” Id. (quotation marks omitted).
    USCA11 Case: 21-11974           Date Filed: 06/06/2022       Page: 10 of 14
    10                        Opinion of the Court                     21-11974
    In SA Palm Beach, this Court noted that “every federal and
    state appellate court” to that point had found “no coverage for loss
    of use based on intangible and incorporeal harm to the property
    due to COVID-19 and the [state and local] closure orders.” Id. at
    1358–59 (collecting cases from state and federal courts, including 9
    federal circuit courts, applying law from 15 states). Finding no
    indication that the Florida Supreme Court would reach a different
    conclusion, this Court followed the “majority view” and held that
    “physical loss” or “physical damage” requires some tangible
    alteration to the insured’s property. 4 Id.
    From there, our Court analyzed Florida caselaw regarding
    what constitutes a tangible alteration to property and concluded
    that “an item or structure that merely needs to be cleaned has not
    suffered a ‘loss’ which is both ‘direct’ and ‘physical.’” Id. at 1361.
    While COVID-19 “require[s] that the properties be cleaned to
    eliminate particles of the virus,” this Court held that is not enough
    to constitute a tangible alteration to the property and thus not
    enough to establish coverage under the policy. Id.
    Similarly, this Court concluded in Henry’s that the same
    analysis applied to all-risk insurance policies interpreted under
    Georgia law. See 
    2022 WL 1815874
    , at *2–3. Under the policy at
    4 Our Court in SA Palm Beach did vacate in part the district court’s dismissal
    on one claim that involved a policy provision not relevant to this appeal be-
    cause that provision did not include the physical loss or damage language. See
    SA Palm Beach, 32 F.4th at 1362–63.
    USCA11 Case: 21-11974       Date Filed: 06/06/2022    Page: 11 of 14
    21-11974               Opinion of the Court                       11
    issue in Henry’s, Allied Insurance would cover lost business
    income if the insured’s operations were suspended because of
    “direct physical loss of or damage to” the insured’s property. Id. at
    *1.
    In Henry’s, our Court began with Georgia law and noted
    that under Georgia law, “[b]eing physical meant that the loss or
    damage had to make the property unsatisfactory for future use or
    meant that the property would need repairs before it would be
    usable again.” Id. at *2 (quotation marks omitted). Put differently,
    “a ‘direct physical loss’ always involves a tangible change to
    property.” Id. Since COVID-19 does not cause a “tangible
    alteration of the property” such that the property could not be used
    in the future or needed repairs to be used, lost business income
    resulting from COVID-19 could not constitute a “physical loss of
    or damage to” the property necessary for insurance coverage. Id.
    at *3.
    C. Alabama Law
    Similarly, we conclude that under Alabama law “accidental
    physical loss or accidental physical damage” in Dukes’s insurance
    policy requires the insured to show tangible alteration to the
    property in order to establish coverage.
    As to our Circuit precedent, the only two differences
    between the policy here and the three in SA Palm Beach or the one
    in Henry’s are that (1) the phrase “accidental physical loss or
    accidental physical damage” in Dukes’s policy is in a definition
    USCA11 Case: 21-11974       Date Filed: 06/06/2022    Page: 12 of 14
    12                     Opinion of the Court                21-11974
    section for the word “loss,” whereas the other policies included the
    entire phrase “physical loss of or damage to property” in each
    relevant provision; and (2) the word “accidental” precedes
    “physical loss” and “physical damage.” Nonetheless, all the
    relevant policies require a suspension caused by physical loss or
    damage for coverage to attach. We conclude that there is no
    material or principled difference between the policies.
    Further, Alabama’s tools of insurance contract construction
    are consistent with the rules applied in our precedent. See SA Palm
    Beach, 32 F.4th at 1356; Henry’s, 
    2022 WL 1815874
    , at *2. We
    conclude that Dukes’s policy language here is not genuinely
    ambiguous because it can be understood by assigning the phrases
    at issue their ordinary meaning. As our Court noted in Henry’s,
    the dictionary definition supports such a reading because “[t]o be
    physical, the loss itself must be ‘of or relating to things perceived
    through the senses as opposed to the mind’; it must be ‘tangible or
    concrete.’” Henry’s, 
    2022 WL 1815874
    , at *2 (quoting New Oxford
    American Dictionary 1321 (3d ed. 2010)).
    The tangible alteration interpretation also harmonizes the
    “accidental physical loss or accidental physical damage” phrase
    with the policy as a whole. See Slade, 
    747 So. 2d at 309
     (“[A] court
    cannot consider the language in the policy in isolation, but must
    consider the policy as a whole.”). The “Business Income”
    provision, upon which Dukes relies on appeal, incorporates the
    phrases “suspension” and “period of restoration.”               The
    “suspension” must be caused by “accidental physical loss or
    USCA11 Case: 21-11974       Date Filed: 06/06/2022    Page: 13 of 14
    21-11974               Opinion of the Court                       13
    accidental physical damage” to the property. The “period of
    restoration” either ends when the property should be “repaired,
    rebuilt, or replaced,” or “when business is resumed at a new
    permanent location.” That language—repaired, rebuilt, and
    replaced—also “confirms that a ‘physical loss of’ property must
    involve tangible change to the property.” Henry’s, 
    2022 WL 1815874
    , at *3.
    We further conclude that if a property or surface can be
    cleaned and quickly restored to its previous condition, then the
    property has not suffered direct “accidental physical loss or
    accidental physical damage” such that it has been tangibly altered.
    See id.; SA Palm Beach, 32 F.4th at 1361. A temporary loss of use,
    without more, cannot satisfy the physical loss or damage
    requirement in an insurance policy like the one here.
    Pursuant to that ordinary meaning, Dukes’s claim that its all-
    risk insurance policy covers its losses and expenses incurred as a
    result of COVID-19 must fail. Put simply, Dukes did not state a
    claim that COVID-19 caused physical damage to its property
    because (1) COVID-19 does not physically alter the property it rests
    on; and (2) COVID-19 particles can be removed from a surface by
    standard cleaning measures. Thus, the closures stemming from
    the pandemic—whether by government order or by customer
    exposure—do not constitute physical loss or damage under
    Dukes’s policy.
    USCA11 Case: 21-11974      Date Filed: 06/06/2022   Page: 14 of 14
    14                    Opinion of the Court               21-11974
    IV.    CONCLUSION
    We affirm the magistrate judge’s dismissal of Dukes’s
    complaint for failure to state a claim under Federal Rule of Civil
    Procedure 12(b)(6).
    AFFIRMED.