Westfield Area Ymca v. the North River Insurance Company ( 2024 )


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  •                                 NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
    internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-1910-21
    WESTFIELD AREA YMCA,
    YMCA OF MADISON
    NEW JERSEY, INC., d/b/a
    MADISON AREA YMCA,
    LAKELAND HILLS FAMILY
    YMCA, WYCKOFF FAMILY
    YMCA, INC., and WEST
    MORRIS YMCA,
    Plaintiffs-Appellants,
    v.
    THE NORTH RIVER
    INSURANCE COMPANY,
    UNITED STATES FIRE
    INSURANCE COMPANY,
    and PHILADELPHIA
    INDEMNITY INSURANCE
    COMPANY,
    Defendants-Respondents.
    ____________________________
    Argued November 28, 2023 – Decided February 21, 2024
    Before Judges Gooden Brown and Natali.
    On appeal from the Superior Court of New Jersey, Law
    Division, Union County, Docket No. L-2584-20.
    Carl A. Salisbury argued the cause for appellants
    (Bramnick, Rodriguez, Grabas, Arnold & Mangan,
    attorneys; Carl A. Salisbury, on the briefs).
    Kristin V. Gallagher argued the cause for respondents
    The North River Insurance Company and United States
    Fire Insurance Company (Kennedys CMK LLP,
    attorneys; Kristin V. Gallagher, Mark F. Hamilton, and
    Tyler J. Pierson, of counsel and on the brief).
    Stephen E. Goldman (Robinson & Cole LLP) of the
    Connecticut bar, admitted pro hac vice, argued the
    cause for respondent Philadelphia Indemnity Insurance
    Company (Walsh Pizzi O'Reilly Falanga LLP, and
    Stephen E. Goldman, attorneys; Liza M. Walsh and
    William T. Walsh, Jr., on the brief).
    PER CURIAM
    In this insurance coverage action, five YMCAs, plaintiffs Westfield Area
    YMCA, YMCA of Madison New Jersey, doing business as Madison Area
    YMCA, Lakeland Hills Family YMCA, Wyckoff Family YMCA Inc., and West
    Morris Area YMCA, appeal from two January 18, 2022, Law Division orders
    granting summary judgment dismissal of their complaint against their respective
    insurance companies, defendants the North River Insurance Company (North
    River), United States Fire Insurance Company (US Fire), and Philadelphia
    A-1910-21
    2
    Indemnity Insurance Company (Philadelphia), three commercial property and
    casualty insurance carriers.
    The complaint sought business interruption coverage under the respective
    commercial property insurance policies for business income losses sustained
    during the pandemic caused by the SARS-CoV-2 virus (the COVID-19
    pandemic) that prompted the Governor to issue mandatory closure orders. In
    dismissing the complaint, Judge Alan G. Lesnewich determined plaintiffs'
    business income losses were not related to any "direct physical loss of or damage
    to" the insured properties, prerequisites to coverage. The judge also ruled
    coverage was barred by the virus exclusions contained in the policies and the
    doctrine of regulatory estoppel did not invalidate the exclusions. We agree and
    affirm substantially for the reasons articulated in the judge's statement of
    reasons.
    I.
    We glean these facts from the motion record, viewed in the light most
    favorable to plaintiffs. Angland v. Mountain Creek Resort, Inc., 
    213 N.J. 573
    ,
    577 (2013) (citing Brill v. Guardian Life Ins. Co. of Am., 
    142 N.J. 520
    , 523
    (1995)). Plaintiffs are non-profit community service organizations that operate
    numerous facilities throughout the State to promote their mission of advancing
    A-1910-21
    3
    youth development, healthy living, and social responsibility.            To that end,
    plaintiffs provide a variety of programs and services in their facilities, including
    child-care, early childhood education, summer youth camps, youth and teen
    sports programs, youth and teen counseling, health and wellness classes for
    adults, and physical fitness training centers. Plaintiffs' facilities are insured by
    the insurance policies at issue in this case (the insured properties).
    Defendant North River issued a commercial package property insurance
    policy to plaintiff Westfield YMCA for the policy period December 31, 2019 ,
    to December 31, 2020. Defendant US Fire issued commercial package property
    insurance policies to plaintiffs Madison YMCA from December 31, 2019, to
    December 31, 2020, to West Morris YMCA from January 1, 2020 to January 1,
    2021, and to Lakeland Hills YMCA from March 31, 2019 to March 31, 2020.
    Defendant Philadelphia issued a commercial package property insurance policy
    to plaintiff Wyckoff YMCA from April 1, 2019 to April 1, 2020.
    All the relevant policy provisions in the various insurance policies are
    identical. The Building and Personal Property Coverage Form provides that
    defendants "will pay for direct physical loss of or damage to Covered Property
    at the [plaintiffs'] premises . . . caused by or resulting from any Covered Cause
    A-1910-21
    4
    of Loss," which is defined as "direct physical loss unless the loss is excluded or
    limited in [the policies]."
    The policies' Business Income (And Extra Expense) Coverage Form
    provides that:
    [Defendants] will pay for the actual loss of
    Business Income [plaintiffs] sustain due to
    the necessary "suspension" of [plaintiffs']
    "operations" during the "period of
    restoration". The "suspension" must be
    caused by direct physical loss of or damage
    to property at [the insured properties] and
    for which a Business Income Limit Of
    Insurance is shown in the Declarations.
    The loss or damage must be caused by or
    result from a Covered Cause of Loss. [1]
    "Business Income" is defined as "[n]et [i]ncome ([n]et [p]rofit or [l]oss before
    income taxes) that would have been earned or incurred;" and "[c]ontinuing
    normal operating expenses incurred, including payroll."
    The policies contain two exclusions that are germane to this appeal. First,
    the "Exclusion of Loss due to Virus or Bacteria" Endorsement (the Virus
    1
    The policies also include "Extra Expense Coverage," which covers "necessary
    expenses [plaintiffs] incur during the 'period of restoration' that [plaintiffs]
    would not have incurred if there had been no direct physical loss or damage to
    property caused by or resulting from a Covered Cause of Loss." However, such
    coverage is only provided if "Business Income Coverage applies at [the insured
    properties]."
    A-1910-21
    5
    Exclusion) provides that defendants "will not pay for loss or damage caused by
    or resulting from any virus, bacterium or other micro-organism that induces or
    is capable of inducing physical distress, illness or disease." The Virus Exclusion
    "applies to all coverage under all forms and endorsements . . . , including but
    not limited to forms or endorsements that cover . . . business income[ and] extra
    expense."
    Second, in the "Causes of Loss – Special Form," the policies contain an
    Ordinance Or Law Exclusion, which explicitly states that defendants "will not
    pay for loss or damage caused directly or indirectly" by "[t]he enforcement of
    or compliance with any ordinance or law . . . [r]egulating the . . . use . . . of any
    property." The Ordinance Or Law Exclusion "applies whether the loss results
    from . . . [a]n ordinance or law that is enforced even if the property has not been
    damaged" and "[s]uch loss or damage is excluded regardless of any other cause
    or event that contributes concurrently or in any sequence to the loss."
    Finally, the policies issued by North River and US Fire contained an
    additional "Food Contamination and Communicable Disease Coverage
    Endorsement," providing that:
    This     endorsement        modifies
    insurance provided under the following:
    A-1910-21
    6
    BUSINESS    INCOME   (AND
    EXTRA EXPENSE) COVERAGE FORM
    ....
    (1) If one or more of [plaintiffs'
    premises are] . . . ordered closed by the
    Board of Health or any other governmental
    authority as a result of the discovery or
    suspicion of "food contamination" or
    "communicable disease", [North River or
    US Fire] will pay:
    (a) The loss of Business Income
    [plaintiffs] sustain due to the necessary
    "suspension" of [plaintiffs] "operations" as
    a result of the "food contamination" or
    "communicable disease". The coverage for
    Business Income will begin 24 hours after
    [plaintiffs] receive notice of closing from
    the Board of Health or any other
    governmental authority[.]
    ....
    2. "Communicable disease" means
    any disease that is transmissible by
    infection or contagion through contact with
    humans or animals, or through bodily
    fluids, contaminated objects, airborne
    inhalation or a similar agent.
    Beginning March 2020, Governor Philip D. Murphy issued a series of
    executive orders in response to the COVID-19 pandemic, requiring the closure
    of all non-essential for-profit and non-profit businesses in New Jersey. First,
    A-1910-21
    7
    Executive Order 103, issued on March 9, 2020, identified COVID-19 as a
    "contagious, and at times fatal, respiratory disease caused by the SARS-CoV-2
    virus," acknowledged the rapid growth of the COVID-19 pandemic and the
    occurrence of confirmed cases in New Jersey and nearby states, declared that "a
    Public Health Emergency and State of Emergency exist[ed] in the State of New
    Jersey," and implemented measures to protect the public in light of the
    emergency. Exec. Order No. 103 (Mar. 9, 2020), 52 N.J.R. 549(a) (Apr. 6,
    2020).
    Next, Executive Order 104, issued on March 16, 2020, among other
    provisions, ordered the closure of "[a]ll public, private, and parochial preschool
    program premises" as well as the closure of all "[g]yms[,] fitness centers and
    classes" for as long as the order remains in effect. Exec. Order No. 104 (Mar.
    16, 2020), 52 N.J.R. 550(a) (Apr. 6, 2020). Five days later, Executive Order
    107, issued on March 21, 2020, superseded Executive Order 104's "operative
    paragraphs" and closed to the public, among other establishments, "[t]he brick-
    and-mortar premises of all non-essential retail businesses," like plaintiffs'.
    A-1910-21
    8
    Exec. Order No. 107 (Mar. 21, 2020), 52 N.J.R. 554(a) (Apr. 6, 2020). The
    mandatory closures were subsequently lifted once the emergency abated. 2
    Plaintiffs sought coverage for the business income losses incurred during
    the mandatory closures, but defendants denied the claims. As a result, on August
    13, 2020, plaintiffs filed a two-count complaint against defendants, commencing
    this action. In the complaint, plaintiffs did not allege any direct physical loss or
    damage to their facilities. Instead, plaintiffs asserted that in exchange for
    "substantial annual premiums," defendants entered into "all risks" insurance
    contracts with them, in which defendants promised to "protect [plaintiffs] from
    losses and catastrophes, including the interruption or closure of their busine ss
    operations due to the physical loss of use, loss of functionality, or loss of access
    to their respective facilities." However, according to the complaint, defendants
    "failed or refused to provide coverage for [plaintiffs'] business income losses
    occasioned by the Executive Order [s]hutdown for various reasons, none of
    which comport or comply with the law of New Jersey." In count one, plaintiffs
    sought a declaratory judgment, requiring defendants to provide full coverage for
    2
    On June 26, 2020, Executive Order 157, which went into effect on July 2,
    2020, authorized the limited reopening of "[a]ll retail establishments" subject to
    mandated precautions to minimize the spread of the SARS-CoV-2 virus. Exec.
    Order No. 157 (June 26, 2020), 52 N.J.R. 1455(a) (Aug. 3, 2020).
    A-1910-21
    9
    their losses. In count two, plaintiffs sought compensatory and consequential
    damages for defendants' breach of contract.
    Ultimately, defendants moved for summary judgment, which was opposed
    by plaintiffs. Following oral argument, Judge Lesnewich granted defendants'
    motions and issued memorializing orders with identical statements of reasons
    on January 18, 2022.3 In his decision, after outlining the governing legal
    principles, the judge first determined that summary judgment was appropriate
    because plaintiffs made no claim for "direct physical loss."             The judge
    explained:
    The [p]olicies' Business Income coverage and Extra
    Expense coverage both require, as a prerequisite to
    coverage, "direct physical loss of or damage to
    [insured] property" that is "caused by or result[ing]
    from a Covered Cause of Loss." The term "Covered
    Cause of Loss" is defined as "direct physical loss unless
    the loss is excluded or limited in th[e] policy."
    Significantly, [p]laintiffs have not made a claim for the
    repair or replacement of any of their respective
    property. That fact is not disputed. That alone is reason
    for the court to grant summary judgment.
    [(first and second alteration in original).]
    3
    One order pertained to North River's and US Fire's motions, and the other
    pertained to Philadelphia's motion.
    A-1910-21
    10
    Turning to the exclusions, the judge concluded the Virus Exclusion was
    enforceable and barred plaintiffs' claim. In reaching that conclusion, the judge
    rejected plaintiffs' contention that the exclusion did not apply because "the
    Executive Orders, not COVID-19, were the proximate cause of [plaintiffs']
    losses." In that regard, the judge looked to other courts that had decided "the
    issue of causation in this context" and relied on our opinion in New Jersey
    Transit Corp. v. Certain Underwriters at Lloyd's London, 
    461 N.J. Super. 440
    (App. Div. 2019), where we stated:
    When there is a conflict as to whether, for
    coverage purposes, losses should be considered to be
    "caused by" an excluded risk or by a covered peril, the
    New Jersey courts employ the efficient proximate cause
    test, which is sometimes referred to as Appleman's
    Rule. . . .
    Under this test, if an exclusion "bars coverage for
    losses caused by a particular peril, the exclusion applies
    only if the excluded peril was the 'efficient proximate
    cause' of the loss." "Where a peril specifically insured
    against sets other causes in motion which, in an
    unbroken sequence and connection between the act and
    final loss, produces the result for which recovery is
    sought, the insured peril is regarded as the proximate
    cause of the entire loss . . . ."
    [Id. at 460-61 (emphasis omitted) (citations omitted)
    (first quoting Zurich Am. Ins. Co. v. Keating Bldg.
    Corp., 
    513 F. Supp. 2d 55
    , 70 (D.N.J. 2007); and then
    quoting Auto Lenders Acceptance Corp. v. Gentilini
    Ford, Inc., 
    181 N.J. 245
    , 257 (2004)).]
    A-1910-21
    11
    Consistent with other courts, Judge Lesnewich determined the Virus
    Exclusion "unambiguously bar[red] coverage of [p]laintiffs' claims" because the
    "alleged losses were caused by the Coronavirus, . . . in response to which
    Governor Murphy issued the [Executive] Orders." The judge explained:
    Plaintiffs cannot show that the Executive Orders, and
    not the COVID-19 virus, were the proximate cause of
    its losses. The Executive Orders were issued for the
    sole reason of reducing the spread of the virus that
    causes COVID-19 and would not have been issued but
    for the presence of the virus in the State of New Jersey.
    Because the Stay-at-Home Orders were issued to
    mitigate the spread of the highly contagious novel
    coronavirus, [p]laintiffs' losses are tied inextricably to
    that virus and are not covered by the policies.
    The judge also rejected plaintiffs' contention that "the Virus Exclusion
    [was] void under the theory of regulatory estoppel." According to the judge,
    plaintiffs "grounded their regulatory estoppel argument on a statement in an
    Insurance Services Office ('ISO') 4 circular" indicating that losses due to viruses
    4
    ISO "is an influential [nonprofit] organization within the insurance industry
    that promulgates standard form insurance policies, including [commercial
    general liability] policies, that insurers across the country use to conduct their
    business." Mac Prop. Grp. LLC & The Cake Boutique LLC v. Selective Fire &
    Cas. Ins. Co., 
    473 N.J. Super. 1
    , 32 n.7 (App. Div. 2022) (alterations in original)
    (quoting Christopher C. French, Construction Defects: Are They 'Occurrences'?,
    
    47 Gonz. L. Rev. 1
    , 5 n.7 (2011/2012)), certif. denied, 
    252 N.J. 258
     and 
    252 N.J. 261
     (2022).
    A-1910-21
    12
    were already precluded by the pollution exclusion. Plaintiffs argued that the
    ISO circular "misrepresented" to regulators that the proposed virus exclusion
    language in the insurance policies was merely a "clarification," when in fact the
    language allegedly resulted in a "reduction in existing coverage."
    The judge reasoned that "putting aside the fact that . . . regulatory estoppel
    does not void a clear and unambiguous provision such as the Virus Exclusion,"
    plaintiffs failed to demonstrate that insurers misrepresented to regulatory
    authorities the impact and scope of the exclusion to justify a finding of
    regulatory estoppel. See Morton Int'l, Inc. v. Gen. Accident Ins. Co. of Am.,
    
    134 N.J. 1
    , 30 (1993) (declining to enforce an exclusion clause because "[t]o do
    so would contravene this State's public policy requiring regulatory approval of
    standard industry-wide policy forms to assure fairness in rates and in policy
    content, and would condone the industry's misrepresentation to regulators in
    New Jersey and other states concerning the effect of the clause").
    In this ensuing appeal, plaintiffs raise the following points for our
    consideration:
    I.[5] THE TRIAL COURT ERRED IN FAILING TO
    FOLLOW      THIS  COURT’S   CONTROLLING
    AUTHORITY THAT "DIRECT PHYSICAL LOSS OF
    5
    We have omitted the standard of review and renumbered the point headings
    accordingly.
    A-1910-21
    13
    OR DAMAGE TO" PROPERTY DOES NOT
    REQUIRE PHYSICAL ALTERATION OF COVERED
    PROPERTY BUT, INSTEAD, IS SATISFIED BY
    LOSS OF USE OF THE PROPERTY.
    II. THE TRIAL COURT APPLIED THE VIRUS
    EXCLUSION, AS A MATTER OF LAW, DESPITE
    THE EXISTENCE OF NUMEROUS MATERIAL
    ISSUES OF FACT IN DISPUTE.
    A. By Misapplying Appleman's Rule, The
    Trial Court Erroneously Found That The
    Virus Was The "Predominant Cause" Of
    [Plaintiffs'] Losses.
    B. Plaintiffs Submitted On The Motions
    Below Numerous Misrepresentations
    About The Virus Exclusion That ISO Made
    To State Insurance Regulators, Which The
    Trial Court Erroneously Ruled Were Not
    Discernible From The Motion Record.
    II.
    "[W]e review the trial court's grant of summary judgment de novo under
    the same standard as the trial court." Templo Fuente De Vida Corp. v. Nat'l
    Union Fire Ins. Co. of Pittsburgh, 
    224 N.J. 189
    , 199 (2016). That standard is
    well-settled.
    [I]f the evidence of record—the pleadings, depositions,
    answers to interrogatories, and affidavits—"together
    with all legitimate inferences therefrom favoring the
    non-moving party, would require submission of the
    issue to the trier of fact," then the trial court must deny
    the motion. On the other hand, when no genuine issue
    A-1910-21
    14
    of material fact is at issue and the moving party is
    entitled to a judgment as a matter of law, summary
    judgment must be granted.
    [Steinberg v. Sahara Sam's Oasis, LLC, 
    226 N.J. 344
    ,
    366 (2016) (citations omitted) (quoting R. 4:46-2(c)).]
    Whether a genuine issue of material fact exists depends on "whether the
    competent evidential materials presented, when viewed in the light most
    favorable to the non-moving party in consideration of the applicable evidentiary
    standard, are sufficient to permit a rational factfinder to resolve the alleged
    disputed issue in favor of the non-moving party." Brill, 
    142 N.J. at 523
    . "If
    there is no genuine issue of material fact, we must then 'decide whether the trial
    court correctly interpreted the law.'" DepoLink Ct. Reporting & Litig. Support
    Servs. v. Rochman, 
    430 N.J. Super. 325
    , 333 (App. Div. 2013) (quoting
    Massachi v. AHL Servs., Inc., 
    396 N.J. Super. 486
    , 494 (App. Div. 2007)). "We
    review issues of law de novo and accord no deference to the trial judge's [legal]
    conclusions . . . ." MTK Food Servs., Inc. v. Sirius Am. Ins. Co., 
    455 N.J. Super. 307
    , 312 (App. Div. 2018).
    "The interpretation of an insurance contract is a question of law . . . and
    can be resolved on summary judgment." Adron, Inc. v. Home Ins. Co., 
    292 N.J. Super. 463
    , 473 (App. Div. 1996).           Certain general principles guide our
    interpretation of an insurance contract.
    A-1910-21
    15
    An insurance policy "will be enforced as written
    when its terms are clear in order that the expectations
    of the parties will be fulfilled," with undefined terms
    construed in accordance with their "plain and ordinary
    meaning." Flomerfelt v. Cardiello, 
    202 N.J. 432
    , 441
    (2010). "If the language is clear, that is the end of the
    inquiry," and courts will not "'engage in a strained
    construction to support the imposition of liability' or
    write a better policy for the insured than the one
    purchased." Chubb Custom Ins. Co. v. Prudential Ins.
    Co. of Am., 
    195 N.J. 231
    , 238 (2008) (quoting
    Progressive Cas. Ins. Co. v. Hurley, 
    166 N.J. 260
    , 273
    (2001)). We have long recognized "the basic notion
    that the premium paid by the insured does not buy
    coverage for all property damage but only for that type
    of damage provided for in the policy." Weedo v. Stone-
    E-Brick, Inc., 
    81 N.J. 233
    , 237 (1979).
    Exclusionary clauses are "presumed valid if they
    are 'specific, plain, clear, prominent and not contrary to
    public policy.'" Norman Int'l, Inc. v. Admiral Ins. Co.,
    
    251 N.J. 538
    , 552 (2022) (quoting Mem'l Props., LLC
    v. Zurich Am. Ins. Co., 
    210 N.J. 512
    , 528 (2012)).
    Policy exclusions "are typically construed narrowly
    with the onus 'on the insurer to bring the case within the
    exclusion.'" Mem'l Props., 
    210 N.J. at 528
     (quoting
    Am. Motorists Ins. Co. v. L-C-A Sales Co., 
    155 N.J. 29
    ,
    41 (1998)). Nonetheless, if the terms of an exclusion
    are clear and unambiguous, we "should not engage in a
    strained construction to support the imposition of
    liability." Longobardi v. Chubb Ins. Co. of N.J., 
    121 N.J. 530
    , 537 (1990).
    [AC Ocean Walk, LLC v. American Guar. & Liab. Ins.
    Co., ___ N.J. ___ (2024) (slip op. at 18-19).]
    A-1910-21
    16
    Because this coverage dispute involves "the devasting impact of COVID-
    19 and state governments' efforts to curb the pandemic, there have been scores
    of federal and state appellate-level courts that have addressed the same issues
    raised in this appeal." Mac Prop. Grp., 473 N.J. Super. at 26.
    The overwhelming majority of them have granted
    defendant insurers' motions to dismiss complaints
    seeking insurance coverage for business losses due to
    government orders barring or curtailing their operations
    in an effort to curb the COVID-19 pandemic because
    the losses were not due to physical loss or damage to
    their insured premises.
    [Id. at 26-27 (collecting cases).]
    Most significantly, our Supreme Court recently interpreted identical
    language as the language at issue in defendants' policies and pointed out that
    [s]everal federal and state courts have . . .
    construed the policy language "direct physical loss" of
    property or "direct physical . . . damage" to property to
    denote either the property's destruction or its alteration
    rendering it unusable or uninhabitable, and have
    declined to extend that language beyond those
    parameters.
    [AC Ocean Walk, LLC, ___ N.J. at ___ (slip op. at 23).]
    The Court concluded,
    [w]e concur with the determinations of those
    federal and state courts. Based on the plain terms of the
    policies, we conclude that in order to show a "direct
    physical loss" of its property or "direct physical . . .
    A-1910-21
    17
    damage" to its property under the policy language at
    issue, [the insured] was required to demonstrate that its
    property was destroyed or altered in a manner that
    rendered it unusable or uninhabitable.
    [Id. at ___ (slip op. at 25).]
    Otherwise, there is no coverage under the insurance policy. Ibid.
    As a result, in AC Ocean Walk, LLC, where the insured sought coverage
    under its commercial property insurance policies for "direct physical loss" of or
    "direct physical . . . damage" to its property occasioned by the COVID-19
    pandemic when it suspended operations of its casino and entertainment facilities
    due to the Governor's executive order mandating closure, the Court held that
    "Ocean Walk's COVID-19 allegations [did] not satisfy the policy language." Id.
    at ___ (slip op. at 26-27).
    At most, it has alleged that it sustained a loss of
    business during the COVID-19 government-mandated
    suspension of business operations because it was not
    permitted to use its property as it would otherwise have
    done. As the Third Circuit observed with respect to the
    complaint dismissed in [Wilson v. USI Ins. Serv. LLC,
    
    57 F.4th 131
     (3d Cir. 2023)] -- in which the plaintiff
    businesses "lost the ability to use their properties for
    their intended business purposes" by virtue of
    government orders -- such an allegation "is completely
    divorced from the physical condition of the premises,"
    given that the properties were "intact and functional"
    and were "not destroyed in whole or in part." 57 F.4th
    at 142-43. The Appellate Division rebuffed a similar
    argument in Mac Property, noting that the insured
    A-1910-21
    18
    businesses "would have been able to continue
    functioning as a dine-in restaurant, bakery, childcare
    and learning center, or gym without interruption had
    Governor Murphy not issued his [executive orders],"
    given that none of the facilities needed repairs due to
    damage or required relocation. 473 N.J. Super. at 23.
    Here, absent the executive orders, Ocean Walk would
    have been able to use its property for casino and other
    entertainment functions with no suspension of its
    operations.
    [AC Ocean Walk, LLC, ___ N.J. at ___ (slip op. at 26-
    27) (second alteration in original) (footnote omitted).]
    The Court also determined that "the deficiency in [Ocean Walk's] allegations
    [could not] be remedied by discovery," id. at ___ (slip op. at 29),6 and the Court's
    holding "comport[ed] with the vast majority of decisions by federal and state
    appellate courts that have addressed that issue," id. at ___ (slip op. at 27).
    Likewise, here, because plaintiffs have not alleged any direct physical loss
    or damage to their facilities due to COVID-19 related government closures, as
    those terms have been defined in AC Ocean Walk, LLC, plaintiffs are not
    entitled to coverage for their business losses under any of the policies regardless
    of whether the virus exclusion applied. We therefore affirm Judge Lesnewich's
    decision granting defendants' summary judgment. Given our conclusion, we
    6
    Unlike this case, procedurally, AC Ocean Walk, LLC was adjudicated on a
    motion to dismiss for failure to state a claim pursuant to Rule 4:6-2(e), before
    discovery was even conducted. Id. at ___ (slip op. at 10).
    A-1910-21
    19
    need not address plaintiffs' remaining arguments, which we previously rejected
    in Mac Property Group LLC, 473 N.J. Super. at 33, 40 (rejecting regulatory
    estoppel as a bar to the enforcement of the virus exclusion, and holding that the
    COVID-19 virus, rather than the executive orders, was "the efficient proximate
    cause of plaintiffs' losses," thus precluding coverage under the virus exclusion).
    As we stated in Mac Property Group LLC,
    We recognize that COVID-19 has caused
    overwhelming economic losses to untold businesses
    and individuals dependent on those businesses in our
    state, nation, and the world. Nevertheless, in the
    context of the issues presented in this appeal, plaintiffs'
    insurance claims are restricted by the clear and plain
    meaning of their insurance policies, which we cannot
    rewrite to cover their unfortunate losses.
    [Id. at 41.]
    Affirmed.
    A-1910-21
    20
    

Document Info

Docket Number: A-1910-21

Filed Date: 2/21/2024

Precedential Status: Non-Precedential

Modified Date: 2/21/2024