`SUPERIOR COURT
`
`SUPERIOR-COURFT
`
`KRM REALTY,LLCand
`
`:JUDICIALDISFRIETOF
`KD INTERNATIONAL GROUP,INC.
`STAMFORDANORWAELK
`JUDICIAL DISTRICT OF
`AFSFAMFORD.
`
`:
`STAMFORD/NORWALK
`CC APRIL 48,262210, 2024
`:
`AT STAMFORD
`
`SELECTIVE INSURANCE COMPANY OF
`
`
`SOUTH CAROLINAand TWIN CITY FIRE
`
`INSURANCE COMPANY
`
`
`
`AMENDED COMPLAINT
`
`NATURE OF THE ACTION
`
`1.
`
`In
`
`this
`
`action,
`
`plaintiffS KRM REALTY, LLC @4(“‘KRM‘%”)
`
`and KD
`
`INTERNATIONAL GROUP,INC. ¢(“KDI” and together with KRM,““Plaintiffs)”) seek recovery
`
`of insurance amounts due and owingto each of them in connection with losses suffered by Plaintiffs
`
`arising out of an accident occurring on February 6, 2020. Although Defendants have madepartial
`
`payment of Plaintiffs'Plaintiffs’
`
`losses, substantial amounts remain due and owing under the
`
`insurancepolicies at issue.
`
`De
`
`Plaintiffs seek further recovery of consequential and statutory damages based upon
`
`Defendants'Defendants’ failure to timely pay claims and bad faith claims handling practices_and
`
`tortious interference with contractual relations, as further set forth below.
`
`PARTIES
`
`3.
`
`Plaintiff KRM is a domestic limited liability company with a principal place of
`
`business in Spring Valley, New York. KRM is the ownerofreal property located at 121 E. Putnam
`
`Avenue, Greenwich, Connecticut (the “““Property-”).
`
`4.
`
`Plaintiff KDI is a domestic corporation with a principal place of business in
`
`Greenwich, Connecticut. Prior to the accident, KDI operated a businessat the Property and was doing
`
`business under the name Chocoylatte Gourmet.
`
`5.
`
`Defendant Selective Insurance Company of South Carolina ((“‘Selective)”) is a
`
`corporation formed under the laws of the State of Indiana, with a principal place of business in
`
`Indianapolis, Indiana. Selective is registered and authorized to do business in Connecticut.
`
`
`
`6.
`
`Defendant Twin City Fire Insurance Company €(“Twin City“y’) is_a corporation
`
`formed under the laws of the State of Indiana, with a principal place of business in Hartford,
`
`Connecticut. Twin City is registered and authorized to do business in Connecticut.
`
`THE INSURANCE POLICIES
`
`The KRM/Selective Policy
`
`7.
`
`Selective sold KRM a Business Ownersinsurancepolicy, policy number 2397131 (the
`
`““KRM/Selective Policy’) with a policy period of January 28, 2020, to January 28, 2021. A copy
`
`of the KRM/Selective Policy, the terms of which are incorporated herein by reference, will be filed
`and served as Exhibit A to the complaint in accordance with Connecticut Practice Book Section 10-
`
`8.
`
`Among other things, the KRM/Selective Policy provides insurance coverage ofall
`
`“direct physical loss of or damage to Covered Property at the premises described in the Declarations
`
`caused byor resulting from any Covered Cause of Loss.”
`
`9.
`
`The Business Owners Coverage Declarations page in the KRM/Selective Policy
`
`provides that the Description of Premises covered shall be in accordance with the Schedule of
`
`Locations. The Schedule of Locationslists the Property as the Covered Property.
`
`10.
`
`The KRM/Selective Policy further provides that Covered Property ““includes
`
`Buildings——...meaning the buildings and structures at the premises described in the Declarations,
`
`including: (1) Completed additions;
`
`[and] (2) Fixtures, including outdoor fixtures—....”_ The
`
`KRM/Selective Policy covers additional property and losses at the covered premises, as further set
`
`forth by the terms and conditions of the KRM/Selective Policy.
`
`11.
`
`The KRM/Selective Policy further provides that, “f“‘[i]n the event of damage by a
`
`Covered Causeof Lossto a building that is Covered Property, [Selective] will pay the increased costs
`
`
`
`12.
`
`By Endorsement, the KRM/Selective Policy further insures KRM against ““the actual
`
`loss of Business Income [KRM] sustain[s] due to the necessary suspensionof[.
`
`a="KRM’s] ‘operations’....” The Selective Policy defines Business Incometo include “““Net Income
`
`...that would have been earned or incurred if no direct physical loss or physical damaged had
`
`occurred” plus “Continuing normal operating expenses incurred, including payroll.”
`
`13.
`
`The KRM/Selective Policy also provides coverage for an ““Extended Period of
`
`Indemnity.” That
`
`coverage
`
`states
`
`that
`
`“f{“[i]Jf
`
`the
`
`necessary
`
`suspension of your
`
`‘eperations' operations’ produces a Business Incomeloss payable underthis policy, we will pay for
`
`the actual loss of Business Income you incur during the period that:
`
`(a) Begins on the date property
`
`except finished stock is actually repaired, rebuilt or replaced and ‘eperatiens'‘operations’ are
`
`mee
`resumed” and endson the earlier of either the date on which KRM couldrestore its ““operations
`
`199
`
`to the condition existing prior to the loss or 60 days after the date the property is ““‘actually repaired*”
`
`1199
`and ““‘operations”” are resumed.
`
`14.
`
`The KRM/Selective Policy also provides insurance coverage for ““Extra Expense
`
`[KRM] incur[s]_...that [KRM] would not have incurred if there had been no direct physical loss or
`
`physical damage to property at the described premises.”_ Among other things, Extra Expense
`
`includes costs incurred “f“[t]o repair or replace any property.”
`
`15.
`
`|The KRM/Selective Policy defines Covered Causes of Lossas “f*‘[d]irect physical loss
`
`unless the loss is excluded” or otherwise limited under the Selective Policy.
`
`16.
`
`No exclusion or other limitation applies to KRM'sKRM’s claim for insurance
`
`coverage under the KRM/Selective Policy other than the Limit of Insurance contained in the
`
`KRM/Selective Policy. The Limit of Insurance is $800,000. The Business Income and Extra Expense
`
`Coverage does not have a monetary limit ofliability.
`
`
`
`17.
`
`Twin City sold KDI a Spectrum Business Owner'sOwner’s Policy insurance policy,
`
`policy number 31 SBA AB9O129AB0129 DW(the ““KDI/Twin City Policy“)’’) with a policy period
`
`of January 31, 2020, to January 31, 2021. A copy of the KDI/Twin City Policy, the terms of which
`
`are incorporated herein by reference, will be filed and served as Exhibit B to the complaint in
`
`accordance with Connecticut Practice Book Section 10-29.
`
`18.
`
`Amongother things, the KDI/Twin City Policy provides insurance coverage ofall
`
`““direct physical loss of or damage to Covered Property at the premises described in the Declarations
`
`=... caused by or resulting from any Covered Cause of Loss.”
`
`19.
`
`The KDI/Twin City Policy Declarations page lists the Property as the Covered
`
`Property insured. The KDI/Twin City Policy describes the business located at the Covered Property
`
`as "Bakery“Bakery Store with Cooking.”
`
`20.
`
`The KDI/Twin City Policy covers “““Business Personal Property” thatis located in or
`
`within 1,000 feet of the covered premises.
`
`21.
`
`The KDI/Twin City Policy defines Covered Causes of Loss as “RISKS OF DIRECT
`
`PHYSICAL LOSS” unless such loss is excluded or otherwise limited under the KDI/Twin City
`
`Policy.
`
`4.——The KDI/TwinCity Policy further insures KDI against “the actual loss of
`
`Business Income [KDI] sustain[s] due to the necessary suspension of [KDFsKDI’s]
`
`
`
`operations
`
`
`
`22.
`
`....’ The KDI/Twin City Policy defines Business Incometo include ““‘Net Income
`
`=z... that would have been earned or incurred if no direct physical loss or physical damaged had
`
`occurred” plus ““‘Continuing normal operating expenses incurred, including payroll.”
`
`2a
`
`199
`The KDI/Twin City Policy also provides “Extended Business Income”” coverage.
`
`That coveragestates that “{“[i]f the necessary suspension of your ‘eperatiens"‘ operations’ produced a
`
`Business Income loss payable under this policy, we will pay for the actual loss of Business Income
`
`you incur during the period that:
`
`(a) Begins on the date property is actually repaired, rebuilt or
`
`replaced and ‘eperatiens' operations’ are resumed” and endson theearlierof either the date on which
`
`KDI could restore its ““operations””to the condition existing prior to the loss or a specified number
`
`of days after the date the property is “actually repaired” and ““‘
`”
`““operations“” are resumed. An
`
`endorsement to the KDI/Twin City Policy sets sixty (60) days as the specified numberofdays.
`
`24.
`
`The KDI/Twin City Policy also provides insurance coverage for ““Extra Expense
`
`[KDI] incur[s] =... that [KDI] would not have incurred if there had been no direct physical loss or
`
`physical damage.....”. Among other things, Extra Expense includes costs incurred “f“[t]o repair
`mo99
`or replace any property.”
`
`25.
`
`The KDI/Twin City Policy also provides insurance coverage for “TEMPERATURE
`
`CHANGE?”for “direct physical loss of or physical damage to ‘perishable stock’” at KDI’s business
`
`
`“caused by or resulting from: ...
`
`al change in temperature of humidi
`
`
`
` resulting from: ...
`
`or partial failure of electrical power” on the premises due to conditions beyond KDI’s control.
`
`26.
`
`The KDI/Twin City Policy also includes insurance coverage for “Business Personal
`
`property Limit — Seasonal Increase” which provides that the limit of KDI’s Business Personal
`
`Property coverage under the KDI/Twin City Policy will automatically increase by 25% for seasonal
`
`variations under certain conditions. The KDI/Twin City Policy also provides Restaurant Stretch
`
`
`
`insurance coverage, which provides for additional coverage for certain losses,
`
`including claim
`
`expenses and temperature change.
`
`25.27. No exclusionor other limitation applies to KDEsKDI’s claim for insurance coverage
`
`under the KDI/Twin City Policy other than the Limits effasuranceof Insurance contained in the
`
`KDI/Twin City Policy. The Limits of Insurance for Business Personal Property is $470,300 in
`
`Replacement Costs. The Business Income and Extra Expense Coverage does not have a monetary
`
`limit of liability. The limits of insurance for Temperature Change coverage for loss or physical
`
`damageto perishable stock is $60,000.
`
`26.28.Additionally, both the KRM/Selective Policy and the KDI/Twin City Policy provide
`
`coverage for claim expenses incurred in investigating the Plaintiffs'Plaintiffs’ loss, including with
`
`respect to taking inventory and auditing business records in order to provide information to Selective
`
`and Twin City.
`
`THE ACCIDENT AND CLAIMS
`
`27.29.On February 6, 2020, at approximately 10:10 p.m., an automobile operated by a third-
`
`party struck and damagedthe building and premises located at the Property (the ““‘Accident')-”).
`
`KRM is the ownerof the building at the Property. KDI had leased the building since 2017, and prior
`
`to the accident it used the premises to operate a bakery and cafecafé business under the name
`
`Chocoylatte Gourmet.
`
`In 2020, prior to the accident, KRM purchased the premises and assumed
`
`KDEsKDI’s lease from the prior owner.
`
`28.30.Chocoylatte Gourmet had converted and renovated the building into a 1,350 square
`
`foot European Style GafeCafé and Bakery. The building space was split approximately 50/50
`
`between a full commercial kitchen with a restaurant capacity license and a space foraretail area.
`
`Chocoylatte Gourmet had been in operation since July 2019. The business sold various bakery
`
`
`
`29.31.The accident caused considerable and substantial structural damage to the building.
`
`The damage wasso extensive that the building was condemned by the town of Greenwich, requiring
`
`extensive coordination with the town in conjunction with rebuilding efforts. According to police
`
`reports, the automobile wastraveling in excess of 80 miles per hour whenit crashed into the building.
`
`The crash destroyed the exterior fa9adefacade of the building, including knocking downportions of
`
`the exterior walls. The interior of the building was in shambles, with the furnishings and inventory
`
`ruined and rendered unusable. The accident caused a complete and total cessation of KDEsKDI’s
`
`business.
`
`30.32.Plaintiffs timely notified Selective and Twin City about the accident and loss and
`
`sought coverage under the KRM/Selective Policy and the KDI/Twin City Policy.
`
`31,33.Upon information and belief, Selective and Twin City each assigned a claims
`
`professionalto investigate Plaintiffs'Plaintiffs’ claims. The Plaintiffs retained a public adjuster, Sabel
`
`Adjusters LLC €(“‘Sabel",”),
`
`to assist in the calculation and presentation of loss amountsto Selective
`
`and Twin City.
`
`Selective'sSelective’s Partial Payment of Claims and Refusal to Make Full Payment
`
`32.34.In May 2020, Selective wrote to KRM acknowledging that the KRM/Selective Policy
`
`provided insurance coverage for the necessary repairs to the building on a ““Replacement Cost
`
`Value” basis. Selective took the position that KRM'sKRM’s loss, less the amount of a deductible
`
`and depreciation, was $126,958.18. This amount was far less than an even theinitial estimate that
`had been provided to Selective over a month earlier of over $225,000. |
`
`33.35.Selective based its position on a report issued by an engineer hired by Selective. That
`
`report failed to includeall work necessary to repair and rebuild the property. In that report, Selective!
`
`sSelective’s engineer misrepresented that an engineer hired by Plaintiffs was present during the
`
`
`
`34.36.Nevertheless, despite admitting that it owed at least $126,958.18 and despite sending
`
`correspondence acknowledgingthat obligation, Selective did not send any payment to KRM atthat
`
`35.37.Upon information and belief, at some point in time thereafter, Selective sent a check
`
`directly to Sabel in the amount of $126,958.18. Despite previous correspondence with KRM,
`
`Selective did not give KRM anynotice that it was paying any portion efKRM'sof KRM’s claim or
`
`that it was sending any amounts to Sabel instead of to KRM.
`
`36-38.Selective made certain monthly payments to KRM for lost business income to cover
`
`KRM'sKRM’s mortgage following the accident, and, one year later, also made partial payments
`
`towards KRM'sKRM’s tax liability. But, Selective refused to continue making those payments after
`
`twelve months, wrongfully contending that KRM'sKRM’s business income coverage had run out
`
`despite the fact that the premises werewas not rebuilt. The delay in rebuilding the premises was
`
`caused by Selective'sSelective’s wrongful withholding of insurance proceeds, underpayment of
`
`claimedloss, alteration or amendmentof property damage estimates in an effort to reduce Selective’s
`
`liability without any notice or explanation to KRM and delays in payment of covered claims.
`
`Selective refused to honor its Extended Period of Indemnity coverage.
`
`Twin GitsCity’s Partial Payment of Claims and Refusal to Make Full Payment
`
`3739. Twin City madecertain partial payments to KDI for insurance coverage under the
`
`Twin City Policy as follows:
`
`Date
`2/24/2020
`4/2/2020
`7/10/2020
`9/24/2020
`3/16/21
`5/7/2021
`5/7/2021
`
`Check No.
`114143152
`114215519
`114360510
`114482897
`114743446
`114823613
`114823610
`
`Amount
`$75,000.00
`$70,833.18
`$25,000.00
`$100,000.00
`$138,640.55
`$123,910.99
`$13,500.00
`
`
`
`8/19/2021
`8/19/2021
`8/19/2021
`8/19/2021
`8/19/2021
`
`114975849
`114975850
`114975852
`114975851
`114975853
`
`$20,000.00
`$10,000.00
`$13,767.88
`$1,500.00
`$1.000.00
`$899,395.70
`
`38.40.In addition, upon information andbelief, Twin City claims to have made
`
`payments to Sabel Adjusters LLC in the amount of $15,515.61 on 6/22/2021 and payments
`
`to Crystal Restoration Services,Inc. in the total amount of $32,631.79 on 6/19/2020,
`
`12/3/2020, and 4/30/2021.
`
`39-41. The payments to KDI from Twin City were madelargely over one yearafter the
`
`Incident, with only 4 payments made in 2020. On February 24, 2020, Twin City advanced $75,000
`
`to KDI against KDEsKDI’s claim for insurance coverage of Finished Goods. On April 2, 2020, Twin
`
`City made another payment of $70,833.18 as an advance of amounts owed for both Finished Goods
`
`and Raw Materials/Stock. Later, in July and September of 2020, Twin City made small advances to
`
`KDIforits business interruption losses. However, Twin City refused to cover KDFsKDI’s full loss
`
`of business property, including equipment, furnishings, and inventory, andit failed to cover the full
`
`amount efKDEsof KDI’s business income and extra expense losses. Twin City also altered or
`
`amended damage estimates in an effort to reduce Twin City’s liability under the KDI/Twin City
`
`Policy without any notice or explanation to KDI. Twin City refused to honor its Extended Business
`
`Income-ceverage, Temperature Change and Seasonal Change coverages.
`
`
`
`42.|However, Twin City refused to cover KDI's full loss of business property,
`
`including equipment, furnishings, and inventory, andit failed to cover the full amount of KDI's
`
`business income and extra expense losses. Twin City refused to honor its Extended Business
`
`
`
`40.43.Upon information and belief, at some point during the summer of 2020, Twin City
`
`sent a payment due to KDIto Sabel. Despite previous correspondence with KDI, Twin City did not
`
`give KDI anynotice that it was paying any portion efKDE'sof KDI’s claim or that it was sending any
`
`amounts to Sabel instead efteofto KDI.
`
`COUNT ONE
`
`(Breach of Contract by KRM against Selective)
`
`1-41.43.Plaintiff KRM repeats and realleges introductory paragraphs 1 through 4443 asif
`
`fully set forth herein.
`
`41.44.Pursuant to the terms of the KRM/Selective Policy, Selective agreed that KRM would
`
`be reimbursedforall ““‘direct physical loss of or damage to Covered Property =... resulting from any
`
`Covered Cause of Loss” as provided fortherein.
`
`42.45.Pursuant to the terms of the Endorsement to the KRM/Selective Policy, Selective
`
`agreed that KRM would bepaidall ““‘actual loss of Business Incomesustain[ed] due to the necessary
`
`suspension of [KRM'sKRM’s] Operations”” as provided for therein.
`
`43.46.The Accident was a Covered Cause of Loss under the KRM/Selective Policy and
`
`Endorsement which caused considerable damage to the Covered Property and KRM'sKRM’s
`
`businessoperations.
`
`44.47.Selective has failed to pay KRM thefull value of its covered lossesas a result of the
`
`Accident under the terms of the KRM/Selective Policy.
`
`45.48.As of the date of filing, KRM has suffered loss arising out of the accident that is
`
`covered under the terms of the KRM/Selective Policy and has been demanded from Selective.
`
`Despite demandofall amounts due and owing, Selective has failed to meetits contractual obligations
`
`and has refused to pay all amounts due and owing. Upon information andbelief, Selective and Twin
`
`
`
`City improperly reached agreements as to partial payments to Plaintiffs resulting in Twin City
`
`improperly paying portions of loss covered by Selective.
`
`4649.There is presently due and owing to KRM unpaid amounts that are owed pursuant to
`
`the terms of the KRM/Selective Policy for structural damage, building repair and replacement, and
`
`business interruption loss in an amountto be provenat trial, but not less than $600,000. Among other
`
`things, Selective has failed to pay all costs associated with the repair and rebuilding of the premises,
`
`plumbing andelectrical expenses, claims expenses incurred in the adjustment of the claim, and
`
`improvements and betterments associated with the premises.
`
`4750.Selective has further refused to pay KRM'sKRM’s ongoing business interruption loss
`
`and damages suffered as a consequence of Selective'sSelective’s failure to make timely payments.
`
`KRM has lost
`
`the profitable use of the premises and lost business advantage because of
`
`Selective'sSelective’s underpayments and delays.
`
`48-51.Selective'sSelective’s delay in paying claims and failure to remit payments directly to
`
`KRM caused substantial delay in the repair and rebuilding efforts. Selective's_Selective’s wrongful
`
`withholding of funds that were due and owing prevented KRM from beingable to retain architects,
`
`engineers, and other construction professionals and caused KRM considerable hardship in securing
`
`materials and equipmentnecessary for repairs. Selective'sSelective’s delay caused further damageas
`
`the cost of construction and construction materials increased considerably during the COVID-19
`
`pandemic, and by creating a window during which copycat competitors took advantage of
`
`Chocoylatte Geurment'sGourmet’s closure.
`
`49.52.KRM fully performedits obligations under the KRM/Selective Policy.
`
`50-53.As a result of Selective'sSelective’s failure to pay and other breaches of contract,
`
`including failure to timely pay claims, KRM hassuffered additional, foreseeable, consequential
`
`
`
`COUNT TWO
`
`(Breach of Contract by KDI against Twin City)
`
`1-41.—Plaineficbi4s3.
`
`Plaintiff KDI repeats and realleges introductory paragraphs 1
`
`through 4443 asif fully set forth herein.
`
`$454.Pursuant to the terms of the KDI/Twin City Policy, Twin City agreed that KDI would
`
`be reimbursed for all ““‘direct physical loss of or damage to Covered Property =... caused by or
`
`resulting from any Covered Cause of Loss” as providedfortherein.
`
`$2.55.Further, pursuant to the terms efDtofKDI/Twin City Policy, Twin City agreed that
`
`KDI would be paid all ““‘actual loss of Business Income sustain[ed] due to the necessary suspension
`
`of [KBEsKDI’s] operations” as provided for therein.
`
`53.56.The Accident was a Covered Cause of Loss under the KDI/Twin City Policy which
`
`caused considerable damage to the Covered Property and KBHsKDI’s business operations.
`
`$4.57.Twin City has failed to pay KDIthe full value of its covered losses as a result of the
`
`Accident under the terms of the KDI/Twin City Policy.
`
`55.58.As of the date of filing, KDI has suffered loss arising out of the Accident that is
`
`covered under the terms of the KDI/Twin City Policy and has been demanded from Twin City.
`
`Despite demandofall amounts due and owing, Twin City has failed to meetits contractual obligations
`
`and has refused to pay all amounts due and owing.
`
`56-59.Twin Gity'sCity’s delay in paying claimsand failure to remit payments directly to KDI
`
`caused substantial delay to KDI reestablishing its business. Twin GityCity’s wrongful withholding
`
`of funds that were due and owing prevented KDI from being able to reopenits business in a timely
`
`way. Upon information and belief, Selective and Twin City improperly reached agreements as to
`
`partial payments to Plaintiffs resulting in Twin City improperly paying portions of loss covered by
`
`
`
`inventory, and furnishings, among other things,
`
`increased considerably during the COVID-19
`
`pandemic, and by creating a window during which copycat competitors took advantage of
`
`Chocoylatte Gourmet'sGourmet’s closure.
`
`57.60.There is presently due and owing to KDI unpaid amounts that are owed pursuant to
`
`the terms of the KDI/Twin City Policy in an amountto be provenattrial, but not less than $500,000.
`
`Amongother things, Twin City has failed to pay amounts owed for the equipment and KDIproperty
`
`destroyed or otherwise rendered unusable in the premises. Twin City also has failed to pay for
`
`KDFsKDI’s full loss of business income and extra expenses incurred following the accident.
`
`58.61.KDI fully performedits obligations under the KDI/Twin City Policy.
`
`59.62.Asa result of Twin Gity'sCity’s failure to pay and other breachesof contract, including
`
`failure to timely pay claims, KDI has suffered additional, foreseeable, consequential damages.
`
`COUNT THREE
`
`(Bad Faith by KRM against Selective)
`
`1-54.—_PleintiffKRM53. Plaintiff KRM repeats and realleges paragraphs | through 5453 of
`
`Count Oneasif fully set forth herein.
`
`60.63.The KRM/Selective Policy is a valid, binding and enforceable contract for insurance
`
`between KRM onthe one hand andSelective on the other hand.
`
`6164.Selective sold the KRM/Selective Policy to KRM as a risk managementsolution to
`
`provide an all-in-one solution for a small business ownerto protect against loss from casualty.
`
`Uponinformation and belief, Selective markets its Business Owners insurance productbytelling its
`
`prospective customers that ““‘your business is your life, passion andlivelihood, and you needto take
`
`stepsto protect it from loss. If the worst case scenario becomesreality, your business owners
`
`
`
`https:/://www.selective.com/for-businesses/businesses-insurance-coverage/business-owners-policy.]
`
`Uponinformation and belief, Selective promotes and markets is Business Owners insurance product
`
`as providing peace of mind to small business owners.
`
`62.65.Implied in every contract is a duty of good faith and fair dealing.
`
`63.66.Selective failed to conduct a fair and reasonable investigation into KRM'sKRM’s
`
`claims.
`
`64.67.Selective deliberately and wrongfully breached its contractual and statutory duties to
`
`KRM by, amongother things: (i) refusing to make timely payment of covered claim amounts,(1i)
`
`failing to pay amounts admittedly due and owing directly to its policyholder, (111) delaying payment
`
`of covered claim amounts for pretextual reasons, (iv) altering or amending property damage estimates
`
`in an effort to reduceits liabilitywithout any notice or explanation to KRM: (v) denying insurance
`
`coverage for physical damage and G¥loss to Covered Property contrary to the clear termsof thepolicy
`
`in an effort to reduceits liability to KRM:and (vi) attempting to coerce compromise on covered claim
`
`amounts by withholding payment.
`
`65-68. Selective'sSelective’s refusal
`
`to honor
`
`their contractual obligations under
`
`the
`
`insurance policies and at law wasfrivolous, unfounded, and contrary to law.
`
`
`
`66-69.Selective'sSelective’s refusal to honor their statutory and contractual obligations is a
`
`breach of the covenant of good faith and fair dealing.
`
`In refusing to pay KRM'sKRM’s full losses,
`
`and in delaying payment of portions of those loss, Selective failed to use good faith and honest
`
`judgmentandfailed to use a level of care and diligence that a person of ordinary prudence would
`
`exercise in the managementofhis or her own business.
`
`6470.KRM madeSelective aware of the factual and legal reasons why Selective erred in
`
`denying coverage from the outstanding amounts due and owing.
`
`68-71.Selective has no reasonable basis for denying insurance coverage to KRM,and by
`
`repeatedly doingso in the face of contrary evidence, Selective knowingly and wrongfully disregarded
`
`this lack of reasonable basis and KRM'sKRM’s rights.
`
`69.72.Seleetive'sSelective’s deliberate and repeated refusals to provide coverage has been
`
`oppressive and undertaken in complete disregard of and in reckless indifference to the rights and
`
`interests of KRM for the dishonest purpose of preventing KRM from receiving the full benefits of
`
`their insurance policies. In denying coverage, Selective failed to give KRM'sKRM’s interests equal
`
`consideration with their own interests. As such, Selective has acted in bad faith and breached the
`
`covenantof good faith and fair dealing inherent in the insurancepolicies.
`
`79.73.As a result of Selective'sSelective’s bad faith denial of coverage, KRM has been
`
`unable to rebuild or repair the premises or resume business operations. Additionally, KRM have been
`
`forced to incur undue expenses and payfor the services of attorneys.
`
`744.74.KRM is entitled to receive compensation for the substantial damages,
`
`including
`
`litigation costs and atterne;sattorney’s fees that it incurred as a result of Selective'sSelective’s bad
`
`faith denials of coverage. KRM is further entitled to compensatory and punitive damages in an
`
`amountto be establishedattrial, as well as such other and further relief as the Court deemsjust and
`
`
`
`i——COUNTFOER
`
`COUNT FOUR
`
`(Bad Faith by KDI against Twin City)
`
`1-50.—62.Plaintiff KDI repeats and realleges paragraphs 1 through $062 of Count Two as
`
`if fully set forth herein.
`
`72.75.The KDI/Twin City Policy is a valid, binding and enforceable contract for insurance
`
`between KDI on the one hand and Twin City on the other hand.
`
`73.76.Twin City sold the KDI/Twin City Policy to KDI to protect KDI from all loss of
`
`business property and business incomeresulting from a covered casualty.
`
`474.77.Implied in every contract is a duty of good faith and fair dealing.
`
`75-78.Twin City failed to conduct a fair and reasonable investigation into KDEsKDI’s
`
`claims. For example, Twin City sent a restaurant equipment specialist to the premises in March of
`
`2020, purportedly to quantify KDEsKDI’s damages with respect to business personal property,
`
`including equipment and contents. Nevertheless, Twin City did not make any payment for these
`
`losses during 2020.
`
`46-79.Twin City deliberately and wrongfully breachedits contractual and statutory duties to
`
`KDI by, amongother things: (i) refusing to make timely payment of covered claim amounts,(11)
`
`failing to pay amounts admittedly due and owingdirectly to its policyholder, (iii) delaying payment
`
`of covered claim amounts for pretextual reasons,(iv) altering or amending property damageestimates
`
`in an effort to reduce its liability without any notice or explanation to KDI, (v) agreeing to pay
`
`amounts known to be due under the KRM/Selective Policy without any factual or legal basis and
`
`G¥leaving KDI underinsured for business personal property coverage, (vi), overlooking and not
`
`considering additional coverages and limits available to its insured, and (vii) attempting to coerce
`
`
`
`7780.Twin GitsCity’s refusal to honor its contractual obligations under the insurance
`
`policies and at law wasfrivolous, unfounded, and contrary to law.
`
`78-81.Twin Gity'sCity’s refusal to honor their statutory and contractual obligations is a
`
`breach of the covenant of good faith and fair dealing. In refusing to pay KDEsKDI’s full losses, and
`
`in delaying paymentof portions of those loss, Twin City failed to use good faith and honest judgment
`
`and failed to use a level of care and diligence that a person of ordinary prudence would exercise in
`
`the managementofhis or her own business.
`
`79.82.KDI repeatedly made Twin City aware of the factual and legal reasons why Twin City
`
`erred in denying coverage from the outstanding amounts due and owing.
`
`80-83.Twin City has no reasonable basis for denying insurance coverage to KDI, and by
`
`repeatedly doing so in the face of contrary evidence, Twin City knowingly and wrongfully
`
`disregarded this lack of reasonable basis and KDEsKDI’s rights.
`
`84.84.Twin Gity'sCity’s deliberate and repeated refusals to provide coverage has been
`
`oppressive and undertaken in complete disregard of and in reckless indifference to the rights and
`
`interests of KDI for the dishonest purpose of preventing KDI from receiving the full benefits of its
`
`insurance policies.
`
`In denying coverage, Twin City failed to give KDEsKDI’s interests equal
`
`consideration with their own interests. As such, Twin City has acted in bad faith and breached the
`
`covenant of good faith and fair dealing inherent in the insurancepolicies.
`
`82.85.As a result of Twin Git}'sCity’s bad faith denial of coverage, KDI has been unable to
`
`rebuild or repair the premises or resume business operations. Additionally, KDI has been forced to
`
`incur undue expenses andpayfor the services of attorneys.
`
`83.86.KDI is entitled to receive compensation for the substantial damages,
`
`including
`
`litigation costs and atterney'sattorney’s fees that it incurred as a result of Twin Git}'sCity’s bad faith
`
`
`
`denials of coverage. KDIis further entitled to compensatory and punitive damages in an amountto
`
`be established attrial, as well as such other and further relief as the Court deemsjust and proper.
`
`COUNTFIVE
`
`(Unfair Trade Practices by KRM against Selective)
`
`1-63.—_PlaintiffKRM+epeats74.
`
`Plaintiffs repeat and reaHegesreallege paragraphs 1
`
`through 6374 of Count Threeasif fully set forth herein.
`
`84.87.Upon information and belief, Selective is an insurance company licensed to do
`
`business in the State of Connecticut, and Selective sells insurance regularly throughout the State of
`
`Connecticut.
`
`85-88.Selective sold the KRM/Selective Policy to KRM asanall-in-one protection for KRM
`
`from loss, including loss of business income, caused by unforeseen casualty.
`
`86-89.Selective regularly markets its Business Owners insurance product to businesses in the
`
`State of Connecticut as all-in-one protection against loss, including loss of business income, caused
`
`by unforeseen casualty.
`
`87.90.Selective'sSelective’s advertising of its Business Owners insurance coverage is
`
`untrue,
`
`immoral, oppressive, unethical, unscrupulous, deceptive and/or misleading.
`
`Upon
`
`information and belief, Selective routinely misrepresents the benefits, advantages, conditions and
`
`terms of its Business Ownersinsurancepolicies.
`
`88-91.Upon information and belief, Selective has a general business practice and pattern of
`
`misrepresenting the provisions of insurance policies that it sells that relate to coverages at issue in
`
`claims presented to them.
`
`$9.92.Upon information and belief, Selective and Selective-affiliated companies have faced
`
`multiple lawsuits alleging bad faith practices in connecti