Document 2e0jEgDr7p3GBJpwyzbnwkkr
FILE NAME: Contract Unit Workers Comp Claims (WCC)
DATE: 1964
DOC#: WCC034
DOCUMENT DESCRIPTION: Workers Comp File - Addison, Gus Contains all documents found in the Claimant's file, with one blank page between each separate document
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STATE OP CALIFORNIA
INDUSTRIAL ACCIDENT COMMISSION
i
APPLICATION
FILE SIGNED ORIGINAL AND SIX COPIES
(PLEASE PRINT OR TYPE NAMES AND ADDRESSES)
C A S E N O . 3 LA 2 6 0 -2 4 0
Dd a .lU j II.----------------------
iffllC JU IT --
-Street--
, APPLICANT 1 A0 0 A1 St
VS,
t--w A XlCvCiilrS-- LiSX---------------IN PLOY IR
Social Security No. . ~ 5 2 Q - 0 > - 6 k J 1 2 '
I N PL OT 1R t A OOP CSS
C H P L O T I R 'I I M U t A N C t CARRIER
INSURANCE CAR RIER'S AOOBCSS
1. uuli_iLLluXXiILI-. MA HC or I HrLOT It
ia , . . v / u / c a . . . alleges that while employed o n ._ X 9 4 l - " ^ ^ ................ 19-
O A T t OP H A T H
D A T I OF INJURY
-carp e n te r.
O C CU P A T I O N AT T I N I OP I N J U R Y
___at
C IT Y. TOWN OB P L A C I W M I B f IN JU B T OC C U B B IO
, California, by
'LLUI.. NAMC OP EMPLOYER
... he sustained injury arising out of and in the course of the employment, as follows:
.nxpoauro to enwuat arid-dust--
11 PI A IN NOW IN JU B T WAS B I C C I V I D
resulting in
IaAIa-^ ...... -...........
TA I t W H B f P A BT S OP 0 T W C R t I N J U B C O ANR SU R SC OU C NT R E S UL TA
2. LL -y A V^.VlL I] f-Tj U l l i x .............. .............
............................................. was the employer's insurance carrier on date of injury*
N A N I 0 / 1 N S U BA NC 1 COMPAN Y 0 1 . IP ( MPLOT 1 R WAS NOT | M U A R I T A T I W m S T H C R 11 LP> I * I U fl 1 0 OR U N I N S U R I O
3. PIRICOSOPPtroteOUITOTK INJVP
4. V as compensation paid?----^-1V--.-.......... * .....
T M OR RO
TOTAL PAIO
J. Earnings at time of in ju ry $
......... @ ... ............... - ..................
MONTH 0 w i l l
O A T I IN J U R IO B t T U B H t D TO WORK
DATS LAST MKOICAL P U B N I I H I 9
WttALT RATI
D A T I OP LAST P A Y N l M T
The basis of pay w as..................... _.....................
I T A T I PAT PCRI OO OR H OU RLY RATK HOURS A OAT ANO DAYS A W U I
6. V as medical treatment needed?__X**D- ............ .. Who furnished treatment?_____________________________________ ___________
I V I N A N I ! OP O O C T O R I WHO T R I A T t O T N t I N J U R Y ANO I T A T I WHO P AI O T H 1 J N S I L L S
7. This application is filed to determine liability fori
a. Temporary disability '-rr- k* Permanent disability ....
YES OR HO
T t s OR NO
e. Litigation expense.-
f. --
c* Medical treatment .. 4, y ..... d. Medical costs-- Y F S '
Yl" oB N O
T i l OB
r* vn-" ; * r- !r!T*`"At;U iw --CL/tS.......... ..........
STATE ANY OTHER BCASON
-62-- i *
A ~ v d -- Lrv~ rii] L U T CASE N U r f l l R l OP ANY O TH ER A I ' P t l CA T l O N S f I L I 0
W HEREFO RE, it is requested that a time and place he fixed for hearing and that an award be made granting such relief as may be proper under the Workmen's Compensation Laws of California,
Dated at--- L o g --A
1^ - 3 -------- California, -- n 't;trt~U try-" '.1V'i--
----
Hcarmg requeued at--------L O O -A -a -t> L e ffr
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Number of witnesses______________________
Estimated time of r r i a l ___
H it O Ji l , U X J d i
A F fU C A A T * llaH A T U U
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AfFLiCSHT S ATTOANIr
l>u ..ilebiro o o u i o w r a
L o g An./jioG 17, California
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A T T O R N E Y 'I A O O fC S I ANO T EL I PHONE N U M R I I
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M O T I - U . . I I I n i M O ' t e o r T h # I ( * ! I I I ( t i t n / ` i < s ti ' i i m o i i t m t o * t *r *i'< * i' , # < * .i ) i a t h .., a t i n * * * m u o r M k i i M l i t H t * r * * ' * > < > n t u n
t rot <irr ttouittit or /iit r 0" rt*nn7 (>Tr ir oiHHI. ivi luna* or v it h iiiii iiricTlo To 1 cti.io, Cil (tuoul 4 CONIIMU4BCI
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a t t a o L f i t * t t m | i i r u i n i t i Accia!
a i H t t i t N*Ta< or I mi c l * in in C O N i i o v i f l f C m i i i * i * n o u i m l * . 9 w n o t i c i i l l
Wh ik A'ft'C*. i h i m w i i i at
y THE DEFENDANTS IN THE GUS ADDISON CASE DATE OF INJURY: 1941 to 1963
EMPLOYER
PD, OF COVERAGE AND EMPLOYMENT
1. C. L. Peck 22 3 II. W. Heilman Bldg. Los Angeles, California
12/31/41
2. R. J,, Daum 6803 West Boulevard Inglewood, California
3/31/42 6/30/42
3. Gorelnrk Company 117 South Poinsetta Place Los-Angeles, California
3/31/42
4. Ford J. Twaits, Edna M. Twaits & J. Twaits Twaits Company 449 South Beaudry Los Angeles 17, California
3/31/42 to
12/31/42
5. R. E. Campbell 316 East Weber Compton, California
6/30/42 9/30/42
6. Stiles 0. Clements & Robert E. Millsap 1135 Van Nuys Bldg. Los Angeles, California
6/30/42
7. Alco Construction Company 5423 Flemish Village Lane Los Angeles, California
6/30/42
8. J. K. Thomas & Theodore A. Beyer Corporation 1151 So- Broadway, Rm. 533 Los Angeles, California
6/30/42
9. N. M. Calhoun 845 North Highland Avenue Los Angeles, California
6/30/42 3/31/43
10. J. E. Burrell & Sons 522 San Francisco Avenue Long Beach 12, California
6/30/42
11. Leonard B. Carter 12134 Green Avenue Venice, California
3/31/42
12. D & B Const. Co-., Inc. 9171 Wilshire Boulevard Beverly Hills-, California
9/30/42 3/31/43
13. E. C. Nesser 4822 West Jefferson St. Los Angeles, California
9/30/42
CARRIER No record
No record
No record
No record
No record
No record
No record
No record
No record
No record
National Auto. & Cas. Ins. Co a corp. P. O. Box 5780 Los Angeles 55, California National Auto. & Cas. Ins. Co a corp. P. 0. Box 5780 Los Angeles 55, California
i
y
EMPLOYER
-2-
PD. OF COVERAGE AND EMPLOYiMENT
14. Aetna Construction Co. 631 South Witmer Street Los Angeles, California
9/30/42
15. Parkhill Wade 1625 South Alameda Street Los Angeles, California
3/31/43 to
9/30/43 9/30/52 12/31/52
16. W. C. Beggs 2122 Berkeley Avenue Los Angeles 26, California
9/30/43
17. Plant Rubber & Asbestos Wks. 9/30/43
^ 537 Brannan Street
12/31/43
-- '"San Francisco, California
6/30/44
9/30/44
18. Ben N. Schlewe 361 North Fuller Avenue Los Angeles, California
12/31/43
19. Loew's Incorporated 1540 Broadway New York, New York
12/31/43
20. Republic Productions, Inc. 4024 Radford Avenue North Hollywood, California
3/31/44 3/31/46 9/30/46
21. Kndet Cork Corporation 65 South 11th Street Brooklyn, New York
6/30/44
22. Davies & Keusder M. M. Davies, W. W. Keusder and G. P. Brown 116*5 North Larchmont Los Angeles, California
3/31/44 6/30/44
^23. Armstrong Cork Company Liberty & Charlotte Streets Lancaster, Pennsylvania
6/30/44
24. Murine Engineering & Supply Company 941 East Second Street Los Angeles 12, California
9/30/44 12/31/44
3/31/45 6/30/45
25. Cecil Witt 6227 South Wilton Place Los Angeles 44, California
6/30/45 to
12/31/45 6/30/46
26. Pozzo Construction Company 2403 Riverside Drive Los Angeles 2.6, California
12/31/45
CARRIER No record No record
No record Pacific Employers Ins. Co., a corp. 4050 Wilshire Boulevard Los Angeles 5, California No record No record No record No record No record
No record No record
No record
No record
-3-
E M P L O Y ER
PD. OF COVERAGE AND EMPLOYMENT
27. Roy Kashrier Roy Kashner Company 704 South Spring Street Los Ange Les 14, California
12/31/45 3/31/46
28. W, E. Robertson Company Walter E,, Robertson & Max Maitzman 4015 West Jefferson Bivd. Los Angeles 16, California
3/31/46
29. C . W.. Dr iver , Inc. 2618 Temple Street Los Angeles 26, California
3/31/46 9/30/51 12/31/51 6/30/53 9/30/53
30. Basso-S c i.urba Reddell John Basso. N. Sciurba & J. T. Reddell 807 Sunset Boulev&rd Los Angeles 12, California
3/31/46
31. A. V. Perkinson 1149 North Las Palmas Los Angeles 38, California
9/30/46 3/31/47
32. Stanton Reed Company Harold E. Reed Forrest Stanton 816 West Fifth Street Los Angeles 13, California
6/30/46 9/30/46 3/31/47
to 12/31/47
3/31/48 to
12/31/48 12/31/49
3/31/50
33. P. J. Walker Company 3900 Whiteside Street Los Angeles 63, California
6/30/48 9/30/53
34. Baruch Corporation 5655 Wilshire Boulevard Los Angeles 36, California
3/31/48
35. Ernes: Potts Fred E. Potts Company 259 South Beverly Drive Beverly Hills, California
6/30/48
36. Steed Bros., a corp. 714 Date Avenue Alhambra, California
12/31/48
37. Boyd H. Gibbons, a corp. 640 South Wall-Street Los Angeles 14, California
3/31/49
38. Buttress & McClellan, Inc. 6456 York Boulevard Los Angeles 42, California
3/31/49 6/30/49
C A R R I ER No record
No record
No record Pacific Indemnity Co., a corp. 3200 Wilshire 3oulevard Los Angeles, California No record
No record
t
No record
No record No record No record
No record No record Pacific Employers Ins. Co., a corp. 4050 Wilshire Bou'1- m r d Los Angeles 5, California
-4-
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
39. Shumaker-Evans Contractors 6/30/49 a corp. 6631 East 26th Street E. Los Angeles 22, California
40. John A-. Kilarquist 618 South Western Avenue Los Angeles 5, California
6/30/49 9/30/49
41. H. Harold Jackson &
9/30/49
Wm. F. Jackson, Jackson Bros.
3475 West Eighth Street
Los Angeles 5, California
42. Louis C. Dunn, Inc.
12/31/49
681 Market Street
San Francisco 5, California
43. Harold W. Underhill 4958 Valley Ridge Avenue Los Angeles 43, California
12/31/49
44. Frank Beer 2017 Wilmont Los Angeles 7, California
6/30/50
45. Joseph Schuck Schuck Construction Co. 1937 West 62nd Street Los Angeles 47, California
6/30/50
46. Pardee Construction Co.
6/30/50
George M. & G . M. Pardee, Jr. to
10639 Santa Monica Blvd.
12/31/50
Los Angeles 25, California
47. C. L. Peck C. L. Peck & Viola Curtis Peck 407 Architects Building Los Angeles 13, California
3/31/51 to
9/30/51
48. Woodrow Franklyn Laremore 1547 South Manhattan Place Los Angeles 19, California
12/31/51
49. F. C. Frederickson & C. E. Easier Frederickson & Easier 212 13th Street Sacramento, California
12/31/51 3/31/52
50. Twaits Co. L t d s . & C. II. Wittenberg Twaits Wittenberg Company 507 South Bixel Los Angeles 17, California
3/31/52 to
9/30/52 0/30/55
51. Ross Construction Corp. 2207 L m n i ngt o n Avenue Los Angeles 64, California
12/31/52 3/31/53 6/30/57
CARRIER No record
No record
No record
Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California No record
No record
No record
No record
No record
No record No record
No record
No record National Auto. & Cas. Ins. Co., a corp. P. G .Box 5780, L .A. 55, Calif. Calif.Como. & Fire Co., a corp. 3325 Wilshire Blvd., L.A. 5, Cal
-5-
EMPLOYER
i ; 52.
!t
Charles R. Hensley 2515 Albert Way Arcadia, California
PD. OF COVERAGE AND EMPLOYMENT
12/31/52 3/31/55
12/31/59
<
53 John Manville Sales Corp. 22 East 40th Street
! 'A "flew York 16, New York
:54.
*
.
Escherick Bros. Inc. 645 South Avenue 21 Los Angeles 31, California
3/31/53
3/31/53 9/30/57
'55.
*31 i ;
Jack A. Wachs & Albert 0. Pops J. A. Post Construction Co. 2507 East Imperial Los Angeles 59, California
3/31/53
:56. i
Ji
1
, 57.
Sam Gerber 23643 Emelita Street Woodland Hills, California
F. J. Twaits Co. & Morrison Knudsen Company, Inc. 440 South Beaudry Avenue Los Angeles 17, California
00 in
Warren Driver & Clarence Driver Driver Construction Company 10910 Kinross Avenue Los Angeles 24, California
3/31/53 6/30/53 9/30/53
59. Thorpe Insulation Co. a corp. 2741 South Yates Avenue Los Angeles 22, California
9/30/53
I 50. C. F. Braun & C o . , a corp. 1000 South Fremont Avenue Alhambra, California
51. Ruane Corporation 4934 N. Walnut Grove Ave. San Gabriel, California
>2. Albert John Pacal 10410 Burbank Boulevard No. Hollywood, California
12/31/53 3/31/54 to 9/30/54
9/30/54 12/31/54
12/31/54
_j3. George A. Fuller Company 597 Madison Avenue New York, New York
3/31/55 6/30/55
6/30/60
CARRIER
No record
Allied Comp. Ins. Co.,' a corp. 4050 Wilshire Boulevard Los Angeles 5, California
Travelers Insurance Co., a corp. 3600 Wilshire Boulevard Los Angeles 5, California
No record State Compensation Insurance P. 0. Box 2134 Los Angeles 54, California
Fund
No record
No record No record No record
Fireman's Fund Ins. Co.,a corp. 3223 West 6th Street Los Angeles 54, California
American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California
Industrial Indemnity C o .,a corp. Box 22 52 Los Angeles 54, California
American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California
Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California
Industrial Indemnity Co.,a corp. Box 2252 Los Angeles 54, California
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EMPLOYER
-b-
PD^ OF COVERAGE AND EMPLOYMENT
64. Berkeley Plywood Co., a corp. 1401 Middle Harbor Road Oakland 20, California
3/31/55
65. Poczo Const. Co., a corp. 970 Virgil Avenue Los Angeles 29, California
6/30/55 9/30/55
66. Eugene McDaniel McDaniel Construction 11040 Amery Avenue South Gate, California
6/30/55
67. Holmes & Narver, a corp. 828 South Figueroa Los Angeles 17, California
6/30/55 12/31/55
3/31/56 6/30/56
68. Mack J . Friedman, Ernest
9/30/56
Levine Contr. Engineers Co. 12/31/56
2 310^ North Vernon
Los Angeles 8, California
69. F. Bronson 933 Sunset Boulevard Los Angeles 12, California
12/31/56
70. Dell E. Webb Constr. Co., a corp. P. O. Box 4066 Phoenix, Arizona
3/31/57
71. George 0. Gartz Gartz Construction Co. 3908 Mission Road Los Angeles 31, California
12/31/57
72. C. L. Peck Construction & Realty C o . , a corp. 816 West Fifth Street Los Angeles 17, California
12/31/57 3/31/58
73. J. William Turpin & W. H. Christensen 10823 Sepulveda Boulevard San Fernando, California
6/30/57
74. Carni11 Brothers, Inc. 350 Sanbone Street San Francisco 4, California
3/31/58
75. Globe Steel & Supply Co. 1313 East Sixth Street Los Angeles 21, California
6/30/58
76. The Wm. Simpson Const. C o . , 9/30/58
a corp.
.
12/31/58
2401 Beverly Boulevard
Los Angeles 57, California
CARRIER
Liberty Mutual Ins. C o . , a cor] 6006 Wilshire Boulevard Los Angeles 36, California
Transport Indemnity Co.,, a corj 3670 Wilshire Boulevard Los Angeles 5, California
No record
Hartford Accident & Indemnity C a corp. 548 South Spring Street Los Angeles 13, California
Enterprise Ins. Co., a corp. 300 South Hobart Los Angeles 5, California
No record
Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California
No record
Truck Ins. Exchange, an inter-insurance exchange Box 2478 Los Angeles 54, California
No record
No record
National Auto. & Cas. Ins. a corp. P. 0. Box 5780 Los Angeles 55, California
Co.,
Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California
X
-7-
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
77. David W,, Gordon 3844 Girard Avenue Culver City, California
6/30/58
78. Hardwick & Son, Inc. 1101 Somerset Lane Newport Beach, California
3/31/59
79. Consolidated Western Steel Division - U. S. Steel Corp. P. 0. Box 2015 Terminal Annex Los Angeles 54, California
3/31/59
80. William J. Moran Company 1011 South Fremont Avenue Alhambra, California
3/31/59
81. Peter Kiewit Sons Company 12/31/59 Payroll Department 1024 Omaha N a t 'l. Bank Bldg. Omaha 2, Nebraska
82. Ford J. Twaits, Carl H. Wittenberg 507 South Bixel Street Los Angeles 17, California
6/30/60 9/30/60
83. Edward M. Pozzo Edward M,, Pozzo Company 1052 West Sixth Street Los Angeles 11, California
6/30/60
84. L. E. Dixon Company, a corp. 6/30/6L
409 South California
9/30/61
San Gabriel, California
85. Guy T. Atkinson Company
9/30/61
10 Viest Orange Avenue
S. San Francisco, California
86. MacDonald, Young & Nelson 8907 Railroad Avenue Oakland, California
87. Jackson Investment Co. a corp. Carter Co. Contr. & Developers 2975 Wilshire Boulevard Los Angeles 5, California
88. Crown Constr. Co., a corp. 5059 West Pico Boulevnid Los Angeles 19, California
8 9 . Odell 0. Atkins Box 84 Anaheim, California
12/31/61 3/31/62 3/31/62 6/30/62
9/30/62
9/30/62
CARRIER
Industrial Indemnity Co . , a corp Box 22 52 Los Angeles 54, California
No record
Liberty Mutual Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California
Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California
Liberty Mutual Fire Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California
No record
Zurick Insurance Co., a corp. 4465 Wilshire Boulevard Los Angeles 5, California
Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California
Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California
Argonaut Insurance C o . , a corp. 1001 Wilshire Boulevard Los Angeles 17, California
Continental Casualty Co.,a corp. 2975 Wilshire Boulevard Los Angeles 5, California
Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California
Travelers Insurance Co., a corp. 3600 Wilshire Boulevard Los Angeles 5, California
261 -02 T4 CABLE ADDRESS ALEXCANO
TELETYPE PG 891
A ,i
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'
A LE X A N D E R AGENCY, INC.
IN S U R A N C E -W O R LD WIDE SINCE 1 8 5 3 316 FOURTH AVENUE PITTSBURGH, PA. 15222
M
`I |W 1 '
May 21,1965
Wallace 3. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Penna.
v/
Dear Mr. Hofferth:
Re: Gus Addition V s C. L. Peck, et al
Ca`se~No. bj'X.A.260-240.
We are enclosing Final Heport - Closing Advice covering the
above.
- ig-
Very, truly vours,
U. Y S.A.Huy
H. end.
OUR SECOND CENTURY OT INSURANCE SERVICE:
* .lOD
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FINAL REPORT-CLOSING ADVICE
From
Policy No.
LOS ANGELES ER.
Pol. EfP. Date Adj. Pf.-- Sym.
Cloim No
AZ 5612^7
Insured
i / i M 91 C 6^121
Armstrong cork co.
Agent
V.L.P. SHRINER
Claimant
GUS AGO ISON
LINE DESIGNATION
PAYMENTS
C LA IM
EXPENSE-- IE G A L
D a te -5/ 1 1 / 6 5
1su# Policy W ritten In
I MIL
RELIANCE; PLANET;
L
O ffice & Prod. Code
02____8lJ}0
Week. W age (Comp.)
P.C.R.; COMMERCIAL State Code to which Prem. Chrgd.
Date o f Accident or Loss
LINE DESIGNATION
PAYMENTS
C LA IM
EXPENSE-- LEGAL
Bodily ln|ury*; Burglary; 1 Compensation; Glass 1 General Liability
Medical Payments 1 Compensation
Medical Treatment
2 Property Damage
20.00
78.00
30
xxxxxxxx
NIL
Death & 5 Dismemberment Multiple Peril
Third Party Liability
6 Multiple Peril Medical Payments
7 Group 8 Accident & Sickness
3 Automobile
Physical Damage
9 Uninsured Motorist
4 Automobile
Medical Payments
TOTAL ALLO CATED LEGAL
E X P .-J O , 1 1 ,1 2
TOTAL UNALLOCATED LEG AL EXP. -- 9 0
Explanation o f settlement; Report on subrogation; or ony unusual circumstances not clearly covered by papers transmitted!
*If injured is a m in o ri -gire'Sge at da te"
CC PITTSpURGH,PENNSYLVANI
CC: AGENT - V .L .P . SHRINER
CC: V. C. MCDONALD, MANAGER, CLAIM DEPT.
V. C. MCDONALD
MANAGER, CLAIM DPT.
'h)
I IH I I I I I I 'MI
C O rY 3
261-0216 CABLE ADDRESS AlEXCANO
TELETYPE PG 891
A LE X A N D E R AGENCY, INC.
IN S U R A N C E -W O R L D WIDE SIN C E 1 8 5 3
316 FOURTH AVENUE PITTSBURGH, PA. 15222
January 22, 1965
> )
/
Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pe na.
Dear Mr, Hofferth:
Rey Gus Addison vs C.L.Peck, et al
^ase Do. 6J T . A . 260- 240.
We are enclosing copy of letter received from the Reliance Insurance Company in connection with the above.
We advised them that we would give them every cooperation.
Very truly yours,
J
) J l- "')y
S. A.Huy. '
H. end*
OUR SECOND CENTURY OF INSURANCE SERVICE
RiUnc Iniunno* Company
Planet Inaurane* Company
261-0216 CAl ADORESS ALEXCa n O
TELETYPE PG 891
A LE XA N D ER AGENCY, INC.
IN S U R A N C E -W O R LD W IDE SINCE 1 6 5 3
316 FOURTH AVENUE PITTSBURGH, PA. 15222
January 14, 1965
Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Penna.
Dear Mr. Hofferth:
Re:(Gus Addison vs C.L.Peck, et al U ^ s e T o 7 6 3 `L.A* 260-240.
Bev. asked me to acknowledge receipt of your letter of the 13th in reference to the above.
We have sent this notice to Los Angeles, Cal.,office of the Standard Accidemt for attention.
Very truly yours,
r/
c ^
S.A.Huy
H.
OUR 3CCONO CENTURY OF INSURANCE SERVICE
January 13, 19^5
Mr. B. R. Shriver Alexander Agency, Inc. 316 Fourth Avenue Pittsburgh, Pennsylvania
15222
Dear Bev:
Subjects Gus Addison
\/ '
vs.
C. L. Peck, et al
Cose No. 63 L . A . 260-21+0
Ihcloaed is a Notice of Hearing in the above-captioned cose.
Sincerely yours,
DJH Enclosure
Wallace B. Hofferth Assistant General Manager Insurance Department
-V & tr
INDUSTRIAL ACCIDENT COMMISSION STATE OP CALIFORNIA
GUS ADDISON
1
Applicant
)
vs.
J
C. L. PECK; *et al
)
Defendants
)
/
Case No. 63LA S60 240 NOTICE OF TIMS AND PLACE OF FURTHER HEARING
NOTICE TO ALL PARTIES
You are hereby notified that further hearing will be held In
the above-entitled action at
410? LOS ANGELES STATE OFFICE BUILDING,
107 SOUTH BROADWAY, LOS ANGELES, CALIFORNIA
4 ..
**-ur,v>-r *'*"***'"
**?*** `
February Q, 19&5
,
,
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9:00 A.M. all day
Dated at: LOS ANGELES January 7, 1965
INDUSTRIAL ACCIDENT COMMISSION
NOTE:. CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED. NAME AND ADDRESS OF PERSONS SERVED
See attached Joinder for service.
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OP CALIFORNIA
GUS ADDISON
}
S
Applicant
J
vs.-
)
C. L. PECX; et al and
)
INDUSTRIAL INDEMNITY EXCHANGE, )
an inter-insurance exchange
)
THE CALIFORNIA CASUALTY
}
INDEMNITY EXCHANGE, an inter- )
Insurance exchange
)
Defendants
)
Case Ho. 6 3 LA 260 240
ORDER JOINING PARTY DEFENDANTS
GOOD CAUSE APPEARING THEREPORj
IT IS HEREBY ORDERED THAT INDUSTRIAL INDEMNITY EXCHANGE, an inter-insurance exchange
, THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE,an,,Anter-
inauranc exchange
. r ' ' * "y ^
be Joined aa a party defendants in the above entitled cause.
WILLIAM KAPLAN ' Referee
January 7, 1965 Parties served; 1/7/6$
INDUSTRIAL ACCIDENT COMMISSION
See attached list for service
GUS ADDISON 1302 W. 42ND ST., LOS ANGELES 9003?, CALIF.
LEVY, 1ER0Y, OSFFNER KOStDtN 6 GLOW* 1520 WIL3HIES BLVD., L.A.
DONALD F. SHAW, 1001 BLAi *15 f * : *_*. , . . j C i A1WF53 90U` ^ , CA^tF*
C. L. *ECK, 223 H. w. HEILMAN BLDG., 354 SO. JPEING SC*, LOS ANGELES
H. J. DAUM, 6803 WEST BLVD. IKGLSW00D, CALI?.
OOaSLHSX CO., n ? SO. POlriSLTTA PL., LOS a n g e l e d , c a l i f .
FORD J. TWAIT3, EDNA M. TVAXT3 A J. TWa ITS: TRAITS COMPANY, 449 SO.
LSAUDHY, LOS ANGELA 1?, CASE?.
B. E. CAMPBELL, ?l6 S. WE3E3, COMPTON, CALIFORNIA
'' -
STILES 0. CLEMEST3 h EC3L3P 3. MILL3AP, 1135 V.LH NUYS SLDO., 210 W. A itj Cm f A'*1'* AV*/*?* {%AJT r?
ALCO CONSTRUCTION CO., 5423 FLEMISH ELLICE
J. K. THOMAS A THSQDGR2 A. BEYER COR?., 1151 SO. BROADWAY, BM. 533
LOS ANGELES, CALI'*'.
N. M* CALHOUN, 845 NORTH HIGHLAND AVS., LOS AXGELL'S, L'wIF.
J. E. BURRELL & SONS, 522 SAN FRANCISCO ATE., LONG BEACH 12, CALIF.
LEONARD B. CASTER, 12134 GREEN A7E., VENICE, CALIF.
D & B CONSTRUCTION CO., INC., 9171 WIL3HI3E BLVD., BEVERLY HILLS
E. C. NES3SR, 4822 W. JEFFERSON ST., LOS ANGELES, CALIF.
AETNA CONSTRUCTION CO., 631 30. WITHER Si>* 3 AHGSLSS, CALIF.
PARXHXLL WADE, Jl625 SO. ALAMEDA ST., LCS ANGELES, CALI?*
W. C. BECOS, 2122 BERKLET AVS., LOS ANGELES, CALIF.
PLANT RUBBER & ASBESTOS WORKS, 53? 8RANNAN ST., SAN FRANCISCO, CALIF. BEN N. SCHLEWE, 361 NORTH FULLER AVE., LOS ANGELS3, CALIF.
LOWE'S INC., 1540 BROADWAY, NSW YORE, NEW YORK
REPUBLIC PRODUCTIONS, INC., 4024 HADP0 AVS., NORTH HOLLYWOOD, CALIF KUNDST CORK COIP., 65 SO. U T H ST., BROOKLYN, NEW YORK
DAVIES & KEUSDSRt H. H. EVVIESt W. V. KSUSDER & G. ?. BROWN,
\ ARMSTRONG
CORK
CO.,
i :a * m . l a r c h m o n t , l o s LIB ELD.'Y As CHARLOTTE STS.,
a n o e l s s , c a l i f . ...
LANCASTER, CALIF. - 1
MARINE ENGINEERING A SUPPLY CO., 9-41 E. 2ND ST., LOS ANGELES 12?,. --
CECIL WITT, 6627 SO. WILTON PL., LOS ANGELES, CALIF.
P0220 CONSTRUCTION CO., 24^3 RIVERSIDE DR., LOS ANGELES, CALIF.
ROY KASHNEB, SOY XASHNER CO., 704 SO. SPRING ST., LOS ANGELES, CALIF.
. E. ROBERTSON CO., WALTER G. ROBERTSON A MAX iL.LTZMA!?, 4015
WEST JEFFERSON, LOS ANGELES, CALIF.
C. W. DRIVER, INC., 26.18 TEMPLE ST., LOS ANGELES 26, CALIF. ,
,
3ASSQ-SCIUBBA & BEDDBLL. JOHN BASSO* N. SCIUS3A, *6 J. TV R2DDSLV-
80? SUNSET BLVD* LOS ANOELSS 12
A. V. PEBXINSON, 1149 NORTH LAS PALMAS, LOS ADO ELxlo,
.
STANTON SEED CO. - HAROLD E. HEED: FORREST STANTON i 01.6 W. 5TH ST.
LOS ANGELES 13. CALIF.
?. J. WALKER CO., 3900 WHITESIDE ST., LOS ANGELES 63, CALIF.
BARUCH CORPORATION, 5655 WXLSHI3E BLVD., LOS ANGELES, CALI?.
ERNEST POTTS, FRED E. POTTS CO., 259 SO. 3SUBTLY DR., BEVERLY HILLS
STEED BROS., 714 DATS AVS., ALHAMBRA, CALIF.
BOYD H. GIBBONS,
SO. WALL ST., LOS AJ-30SLES 14, CALIF.
BUTTRESS <5 KC CL5.*-\N, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKSR-EVANS CONTRACTORS, 6671 E. 2266 TH USAT .j ...;n r,03 AHOELES, CALIF
JOHN A. KILABJUIST, 6l8 SO. WESTERN .WE., LOS ANGELES, CALIF.
HAROLD JACKSC"' ft WH. ?. JACICSCN. JACKSON BROS.. ^ ? 5 ?. ?TH r \
.LOS ANGELES, CALIF.
MARKET ST., SAll WrA*|-*r CO, CALI
VALLEY RIDGE AVrr
,.<w! TV"* 43, CALIF.
FRANK 3SSH, 201? WILSON?, Tr^*3 at^g ^ s ? t CALI .1
JOSEPH CCWUCX- -'C.VCX CQ!}irr/'flr> rys r, 'T* %
*> **, ,, . ?]^ a
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so, p i x e l * los a n c h o r s IV, CAL.
BOSS CONSTRUCTION C02P., 220? LIN.n'Im GTON AV E.:, LOS AN.
CHARLES H. HENSLEY, 2515 LD EH? WAY, ARCADIA, `CALI?.
JOHNS-Km.NVILLE Sa LES COBP. , 22 En ST LOTH ST., NEW YORK ESCHERICK BROS., INC., 645 SO. AVS. 2 1 , LOS ANGELES 3 1 ,
JACK
V.nCHS & ALBERT 0. POPS - J. A. POST CTN.STR. CO.,
IMPERIAL, LOS ANGELES, CALI
SAH GERBER, C/O EVRGN, 6ll VENTURA .f'LVD. , ENCINO, CALIF.'>
F. J. TWA ITS CO. & MOR RI30H-KM UDSEN CO., INC., 440 SO. BEA LOS ANGELES 1?,, C A L IF .
WARREN D RIVER CLARENCE D R IV E R : DRIVER CONSTR. C O ., 10910
AVE., LOS ANGELES 24, CAL.IF.
THORPE INCULATI CM CO., 2741 SO. YATES AV: LOS ANGELE.S ?2, C. R. BRAUN <& CO., 1000 SO. FREMONT AVS., ALHAMBRA, CAL.IF.
RANE CORPORATION, 4934 N . WALNUT GROVE AVS., SAN GABRIEL, CA.
ALBERT JOHN PACAL, 10410 BURBANK BLVD., NORTH HOLLYWOOD, CALIF
GEORGE A. FULLER CO., 59? KADI SEN AVS., NEW YORK, N50 '*OHH
BERKELEY PLYWOOD CO., 1401 MIDDLE HARBOR RQ. , OAKLA.i - v , CALIF
PCZZO CONSTRUCTION CO., 970 VIRGIL AVE., LOS ANGELES, CALIF.
EUGENE MC DANIEL MC DANIEL CONSTR. CO., 11040 AMERY AVE.,
SOUTH GATE, CALIF.
HOLMES NAEVER, 828 SO. FIGUEROA, LOS ANGELES, CALIF.
MACK J. FRIEDMANS ERNEST LEVINE; CONTRACTOR ENGINEERS CO., 2310$
W. VERNON, LOS ANGELES, CALIF.
F. BRONSON, ?33 SUNSET BLVD., LOS ANGELES 12, CALIF.
DELL E. WEBB CONSTR. CO., BOX +066, PHOENIX, ARIZONA
GEORGE 0. GARTZ - GARTZ CONSTR. CO., 3908 MISSION HD., LOS ANGELES
C. L. PECK CONSTR. REA' ; CO., 816 W. 5TH ST., L03 ANGELES 1?
J. WlLLlmM TURPIN 4 W. F CHRISTS;. SEN, 10823 SEPULVEDA BLVD.,
SAN FERNANDO, CALIF.
CAHILL BROS., INC., 3S0 S.\ .SOME ST., Sr.N FRANCISCO, CALIF.
GLOBE ST^Eiv 4 SUPPLY CO., 1313 E. 6?H ST., LOS ANGELES 21, CALIF.
THE WM. SIMPSON CONSTR. CO., 2401 BEVERLY BLVD., LOS ANGELES 5?
DrtVI D W. GORDON, 3844 GIRnRD AVE., CULVER CITY, CALIF.
HARDWICK 4 SOit, INC., 'L l SOMERSET Ln.;E, NEWPORT BEACH, CALIF.
CONSOLIDATED WESTERN .,?LL- DIV. U. 3. STEEL COR?., BOX 2015,
LOS ANGELES 54, CALIF.
PETER KIEWIT SONS CO., PAYROLL DEPT., 1024 OMAHA N AT'L BANK BLDG.,
OMAHA, NEBRASKA
EDWARD M. rOZZO - SWABD M. POZEO CO., 1052 N. 6TH ST., LOS ANGELES L. E. DIXON CO., 40> -.9 . CALIFORNIA, SAN GnOdlEL, CALIF.
GUY T. a TKJNSON CC.., ' W. - R A G S AVE., SAN FRANCISCO, C A L I '.
MACDONALD, YOUNG 'c NFL CW, O yO? RAILROk D AVE. , OAKLAND, CALIF.
JACKSON INVESTMENT C., C CRT EH CO. CON FR. K DEVELOPERS, 2975
WILSHIEE BLVD., LOS ANGELES, CALIF.
CROWN CONSTR. CO. f 5 0 59 . PICO B! LVD., LOS ANGELES, CALIF.
ODELL 0 T K IN S , BOX 8 4 , TM iEIM , CALIF.
LUCKSY \r V KINUM, IN C . ,
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F I REM.AN ?u- FUND IN J '^0 . j Box 232.
AN' .ES QOO54 ,
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HAROLD SLOOP
P A C IF IC IN DEM. CC . , 3200 WtLSHIR V p LTD., LOS ANA ELDS , CALIF.
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CA: TFORNIA
PACIFIC EMPLOYERS IN iURA;'Ci C a ., AOUO ^ILSHIRF. BLVD. , LOG AIELLS CALIFORNIA
EMPLOYERS MUTUAL LI^.-ILIIY INSUa.. .GE CuH.rAN Y CP WISCONSIN, 354
AS
BLVD., I I f. NOCL E'S , CALIF.
STATE COMPENSATION INSURmxCE FEND, BOX 213*4-, LOS ANGELES 9 0 0 5 4 ,
CALIFORNIA
GUARANTEE INSURANCE COMPANY, i6?l WILSHIRE BLVD., LOS ANGELES,
CALIF.
AaCONrtUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS nAGELES, CAuIF.
CALIFjRi11\ COMPENSATION & FIRE CO., 3 3 o WILSf.t r -; BLVD.,
LOS ANGELES, CALIF.
ALLIED COMPENSATION INSURANCE CO., 47>5C WlLSHTh BLVD., LOS
ANGELES, CALIF.
TH TRAVELERS INSURANCE CO., 300 ViILS HIRE BLVD. , LOS ANGELES, CALIF.
ZURICH INS. CO., 44-65 WILCH: PI BLVD., LCS ANGELES, CALIF.
AMERICAN MOTORISTS INSURANCE CO., 3545 WILSH1P.E BLVD., LOS ANGELES
CALIF., ATTN: J. D. HENDERSON
LIBERTY MUTUAL INS. CO., 6006 WILSHIRE BLVD., LOS ANGELES, CALIF.
TRANSPORT.INDEMNITY CO., }6?0 wILSHIRE BLVD., LOSANOSLES, CALIF.
HARTFORD ACCIDENT & INDbMu.ITY CO., 543 SO. SPRING ST., LOS
ANGELES, CALIF.
ENTERPRISE INSURANCE CO., - NOW MISSION INS. CO., 300 SO. HCQAflT,
LOS ANGELES, CALIF.
TRUCK INSURANCE EXCHANGE, BOX 2478, Lo3 ANGELES 54, CALIF.
CONTINENTAL CAS. CO., 2975 WILSHIRE BLVD., L03 ANGELES, CALIF.
WEINGAND, KEWDIG, STOCKWELL
, 611 SO. CATALINA,
LOS ANGELES, CALIF.
CLOPTON & PENNY, 637 SO. SPRING ST.. LOS ANGELES, CALIF.
ZONolI, GINOCCHIO & I a YLCR, 541 30. SPRING ST., SUITE 711, LOS ANGELES, CALIF.
R. L. KxUTZ & CO., 510 W. 6TH ST.. LOS ANGELES, CALIF.
Mo-.-sf.r ivilv A- cohn^iu^r, A ; . . 6th St., Ies -nmoles, Calif. EARLY, '.V.SLCH, rOr.AN & W LLAMJ, eOX 24?8, LOS NGELES 54, CALIF.
rtTTN: DONALD BRAUN
Spray, G.--la k Bowers, i,i
LA
Alan Fran*, MD, s-Gj Wiibhlre. LA 90QC5
* McCartney, P^v.ers, par no-a A. nuers^n, 1:T a w. nth- S t ., # M; L a u ij-i n , v a n o , iiDey A 1^np'-4in g , 6725 Sunset Blvd.
>vO o c 1---
Th$ Calif 1j Cl
[ndem. Exchange,
) -x p 25p , LA 417 3. Hill --o G4- f LA ^ L . Virgil, LA
I n d u s tr ia l Indemnity
Box c J j l , LA 9 0 0 5 4
261-0216 CABLE ADDRESS AlEXCAND
TELETYPE PG S9t
A LE X A N D E R AGENCY, INC.
IN S U R A N C E -W O R L D WIDE SINCE 1 0 5 3 316 FOURTH AVENUE - PITTSBURGH, PA. 15222
April 20, 1064 (Monday)
Mr. Wallace R. Hofferth Armstrong Cork Company Lancaster, Pennsylvania 17604 Dear Wally:
Re: c-us Addison The Travelers are the ones named and not the Standard, therefore, I am returning the papers sent to u s.
PRSseh Enclosures
OUR SECOND CENTURY OF INSURANCE SERVICE
INDUSTRIAL ACCIDENT COMMISSION STATE OP CALIFORNIA
GUS ADDISON
Applicant _
VS
C. L. PECK, ET AL SEE ATTACHED APPLICATION
Defendants
) ) NSTICE CP HEARING
)
)Case No. 63 L.A. 260-240
) ) ) ) ) ) ) ) ) )
You are hereby notified that an application for compensation (a copy r,f which is attached hereto) has been filed with the Industrial Occident Commission of the State of California. You are further notified that said application has been set for hearing at
4107 LOS ANGELES STATE OFFICE BUILDING, 107 SOUTH BROADWAY
LOS ANGELES, CALIFORNIA
APRIL 22, 1964
9:00 A.M. HALF DAY
and that at said time and place the Industrial Accident Commission of the State of California will proceed to hear and dispose of the said application in the manner prescribed by law.
NOTE: The parties are expected to submit all issues in controversy for decision at this hearing; therefore, all necessary witnesses, evidence, documents, medical reports, payrolls, and other essential proof must be available and ready for submission at the hearing.
DATED: LOS ANGELES, CALIFORNIA APRIL 9, 1964
INDUSTRIAL ACCIDENT COMMISSION By William Kaplan
Assistant Secretary
The undersigned certifies that as an employee of the Industrial Accident Commission she served the foregoing notice on the parties hereinafter mentioned, at the time set opposite their respective names, by depositing a copy of said notice attached to a copy of the application therein mentioned, in a sealed envelope in the United States mail on said day, at Los Angeles, California, with the postage thereon fully prepaid, and addressed to the said parties at their last known places of business or residence, as follows, to wit:
NAME AND ADDRESS OF PERSONS SERVED:
SEE ATTACHED LIST FOR SERVICE:
_______ Harriet Pinck_______________ SIGNATURE OF PERSON SERVING NOTICE
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATS OF CALIFORNIA
}
)
)
Gusa ADDISON
)
)
Applicant
)
)
VS
)
' )
C. L. PECK, ET AL (SEE ATTACHED
)
APPLICATION) - AND - PACIFIC INDEMNIT
COMPANY, A CORPORATION: NATIONAL
)
AUTOMOBILE AND CASUALTY COMPANY, A )
CORPORATION: PACIFIC EMPLOYERS
)
INSURANCE COMPANY, A CORPORATION:
)
Case No. 63
ORDER PARTIES
EMPLOYERS MUTUAL LIABILITY INSURANCE \
COMPANY OF WISCONSIN, A CORPORATION: (
STATE COMPENSATION INSURANCE FUND:
GUARANTEE INSURANCE COMPANY, A
\
CORPORATION: ARGONAUT INSURANCE
{
COMPANY, A CORPORATION: CALIFORNIA
COMPENSATION AND FIRE COMPANY, A
(
CORPORATION: ALLIED COMPENSATION
INSURANCE COMPANY, A CORPORATION:
(
TRAVELERS INSURANCE COMPANY, A
CORPORATION: ZURICH INSURANCE
COMPANY, A CORPORATION : AMERICAN
MOTORISTS INSURANCE COMPANY, A
1
CORPORATION: LIBERTY MUTUAL INSURANCE
COMPANY, A CORPORATION: TRANSPORT )
INDEMNITY COMPANY, A CORPORATION:
)
HARTFORD ACCIDENT AND INDEMNITY
)
COMPANY, A CORPORATION: ENTERPRISE )
INSURANCE COMPANY, A CORPORATION:
)
(NOW MISSION INSURANCE COMPANY):
)
TRUCK INSURANCE EXCHANGE, AN INTER- )
INSURANCE EXCHANGE: CONTINENTAL
)
CASUALTY COMPANY, A CORPORATION:
)
L.A. 260-2^0
JOINING DEFENDANT
/
Defendants
)
_____________________________________________________ )
GOOD CAUSE APPEARING THEREFOR:
IT IS HEREBY ORDERED THAT = PACIFIC INDEMNITY COMPANY, A CORPORATION
NATIONAL AUTOMOBILE AND CASUALTY COMPANY, A CORPORATION: PACIFIC
EMPLOYERS INSURANCE COMPANY, A CORPORATION: EMPLOYERS MUTUAL
LIABILITY INSURANCE COMPANY OF WISCONSIN, A CORPORATION: STATE
COMPENSATION INSURANCE FUND: GUARANTEE INSURANCE COMPANY, A
CORPORATION: ARGONAUT INSURANCE COMPANY, A CORPORATION:
CALIFORNIA COMPENSATION AND FIRS COMPANY, A CORPORATION: ALLIED
COMPENSATION INSURANCE COMPANY, A.CORPORATION
TRAVELERS
INSURANCE COMPANY; A CORPORATION: ZURICH .INSURANCE COMPANY, A
CORPORATION: AMERICAN MOTORISTS INSURANCE COMPANY, A CORPORATION:
LIBERTY MUTUAL INSURANCE COMPANY, A CORPORATION: TRANSPORT
INDEMNITY COMPANY, A CORPORATION: HARTFORD ACCIDENT AND INDEMNITY
COMPANY, A CORPORATION: ENTERPRISE INSURANCE COMPANY, A
CORPORATION : (NOW MISSION INSURANCE COMPANY): TRUCK INSURANCE
EXCHANGE, AN INTER-INSURANCE EXCHANGE: CONTINENTAL CASUALTY
COMPANY, A CORPORATION :
be Joined aa parties defendant in the above entitled cause.
______ William Kaplan__________ Ile fe re e
INDUSTRIAL ACCIDENT COMMISSION
GUS a DDI SOI' , 1302 W. 42 'ID ST., LOS AKG SLES 90037, C/.LIF. LEVY, DEROY, GEf-PNER, KOJLDiN G L O W , 1$20 WILSLTRE ELVD*, L. A.
DONALD F. SHAW, 1901 BLa KE AVE.| LOS ANGELES 90029, CALIF. C. L. PECK, 223 H. W. HcXLKAN PLG., 354 SO. SPRING ST., LOS ANGELES
R. J. DAUM, 6803 WEST ELVD. . INGL A.OOD, CALIF. GORELNIK CO., 11? SO. POINSETlA PL., LOS ANCELES, CALIF. FORD J. TWAITS, EDNA M. TWAITS J. TWAITS: TWAITS COMPANY, 449 SO.
BErtUDRY, LOS ANGELES 17, CALIF.
R. E. CAMPBELL, 316 E. WEBER, COMPTON, CALIFORNIA
STILES 0. CLEMENTS Sc ROBERT E. MILLSAP, 1135 VAN NUYS BLDG., 210 W. 7TH ST., LOS ANGELES, CALIF.
ALCO CONSTRUCTION CO., 5423 FLEMISH VILLAGE LANE, LOS ANGELES, 7. K. THOMAS & THEODORE A. BEYER CORP., 1151 SO. BROADWAY, RM. 533
LOS ANGELES, CALIF. N. M. CALHOUN, 845 NORTH HIGHLAND AVE., LOS ANGELES, CALIF. J. E. BURRELL SONS, 522 SAN FRANCISCO AVE., LONG BEACH 12, CALIF. LEONARD B. CARTER, 12134 GREEN AVE., VENICE, CALIF.
D & 8 CONSTRUCTION C O . . INC-, 9171 WIL3HIRS BLVD., BEVERLY HILLS
Le C. MESSER. 4822 W. JEFFERSON ST., LOS ANGELES, CALIF.
AETNA CONSTRUCTION CO., 6 3J 30. WITMER ST., LOS ANGELES, CALIF.
PARKHILL WADE, lt'25 SG- ALAMEDA ST., LOS ANGELES, CALIF. U. C. B EGGS, 2122 BERKLEY aVF. , LOS ANGELES, CALF. SLANT RUBBER ASBESTOS '-'ORES, 537 BR.iNNAN ST., SAN FRANCISCO, CALIF.
r-'.N N. SCHLEWE, 36I NORTH FULLER AVE., LOS ANGELES, CALIF.
LOWE'S INC., 1540 BROADWAY, NEW YORK, NEW YuRK
REPUBLIC PRODUCTIONS, INC., 4024 RADFORD AVE., NORTH HOLLYWOOD, CALIF
KNDET CORK CORP., 65 SO. 11TH ST., BROOKLYN, NEW YORK
DAVIES & KEUSDER: M. M. DAVIES: W. W. KEUSOER & G. P. BROWN, 116?: M . LARCHMONT, LOS ANGELES, CALIF.
KARMSTRONG CORK CO., LIBERTY & CHARLOTTE STS., LANCASTER, CALIF. MARINE ENGINEERING Sc SUPPLY 00., 94l E. 2ND ST., LOS ANGELES 12 CECIL WITT, 6627 SO. WILTON PL., LOS ANGSDSS, CALIF. POZZO CONSTRUCTION CO., 2403 RIVERSIDE DR., LOS ANGELES, CALIF. ROY KASHNER, ROY KASHNER CO., 704 SO. SPRING ST., LOS ANGELES, CALIF. W. E. ROBERTSON CO., WALTER . ROBERTSON Sc MAX MALTZMAN, 4015 WEST JEFFERSON, LOS ANGELES, CALIF. C. W. DRIVER, INC., 2613 TEMPLE ST., LOS ANGELES 26, CALIF. BASSO-SCURBA & REDDELL. JOHN BaSSO: N. SCIUR3A, Sc J . T . REDDELL, 807 SUNSET BLVD., LOS ANGELES 12 A. V. PERKINSON, 1149 NORTH LAS PALMAS, LOS ANGELES, CALIF.
STANTON REED CO. - HAROLD E. REED: FORREST STANTON: 8l6 W. 5TH ST.
LOS ANGELES 13, CALIF.
P. J. WALKER CO., 3900 WHITESIDE ST., LOS ANGELES 6 3 , CALIF.
BARUCH CORPORATION, 5655 WIL3HIHE 3LVD., LOS ANGELES, CALIF. ERNEST POTTS, FRED . POTTS CO., 259 SO. BEVERLY DR., BEVERLY HILLS STEED BROS., 714 DATE AVE., ALHAMBRA, CALIF. BOYD H. GIBBONS, 640 SO. WALL ST., LOS ANGELES 14, CALIF.
BUTTRESS & MC CLELLAN, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKER-EVANS CONTRACTORS, 6631 E. 26TH ST., EAST LOS ANGELES, CALI? JOHN A. KILARQUIST, 6 l8 SO. WESTERN AV- , LOS ANGELES, CALIF.
H. HAROLD JACKSON & WF. F. JACKSON, JACKSON ^ROS , 34',"; W. 5TH ST. LOS ANGELES, CALIF.
ICUT 5 C. DUNN, INC., 68l MARKET ST., S->N FF;AnCISCO, CALIF.
HAROLD W. UNDERHILL, 4858 VALLEY RIDGE AVE., LOS ANGELES 43, CALIF. FLANK BEER, 2017 WILMONT, LOS ANGELES 7, CALIF. JFSEPH SCHUCK- SCHUCK CONSTR. CO., 1932 W. 62ND ST., LOS ANGELES 47 PARDEE CONSTR. CO., GEO. M. Sc G. M. PARDEE, JR., 10639 SANTA MONICA
ELVD., LOS ANGELES 25,CALIF.
C. L. PECK - C. 0. PECK VIOLA CURTIS PECK, 407 ARCHITECTS BLDG., 816 W. 5TH ST., LOS ANGELES, CALIF.
WOODROW FR/-.NKLYN LAREMORE, 1547 SO. MAiCiATT.-M PL., LOS ANGELES, CALIF. F. C. FREDERICKSON & C. E. KASLER - 212 13TH ST., SACRAMENTO, CALIF.
PAGE I
TWITS CO., LTD. k C. H. WITTENBERG ; TN TS-VITTENPERO CO., 50?
SO. BIXEL, LOS ANGELES 17, CALIP.
ROSS CO INSTRUCTION COSP., 220? LIN NINGTON AVE. , LOS ANGELES, 64
CHARLES R. HENSLEY, 2515 a LE EST V:AY, ARCADIA, CALIF.
JOHNS-Ma NVILLE Sa LES CORP., 22 Eh ST 40TH ST ., NEW YORK l, NEW YORK
ESCHERICK BROS., INC., 645 SO. AVE. 21, LOS ANGELES 31, CALIF.
JACK A. WACHS k ALBERT 0. POPS - J. A. POST CONSTR. CO., 2507 E. IMPERIAL, LOS ANGELES, CALIF.
SAM GERBER, C/O EVRON, 6ll VENTURA .BLVD. , ENCIHO, CALIF. F. J. TWAITS CO. k MORRISON-KNUDSEN CO., INC., 4'iO SO. BEAUDRY AVE.
LOS ANGELES 17, CALIF.
WARREN DRIVER k CLARENCE DRIVER: DRIVER CONSTR. CO., 10910 KINROSS
AVE., LOS ANGELES 24, CALI?.
THORPE INSULATION CO.. 274? SO. YATES AVE. , LOS ,,NCELES 22, CALIF.
C. R. BRAUN k CC., 1000 SO. FREMONT AVE., nLHAMDRA, CALIF. PUANE CORPORATION, 4934 N. WALNUT GROVE AVE., SAN GABRIEL, CALIF.
ALBERT JOHN PAC/L, 10410 PURBANK BLVD., NORTH HOLLYWOOD, CALIF.
C ZORGE A. FULLER CO., 597 MADISON AVE., NEW YORK, NSW YORK
EKRKSLEY PLYWOOD CO., 1`loY MIDDLE HARBOR HD., OAKLAND 20, CALIF.
PAZZO CONSTRUCTION CO-,
VIRGIL AVE., LOS ANGLES, CALIF.
EUGENE MC DANIEL = MC Lm N xEL CONSTA. CO., 11040 AMERY AVE.,
SOUTH GATE, C/LIF.
HOLMES k NARVSR, 828 SO. FIGUEROA, LOS ANGELES, CALIF. MACK J. FRIEDMAN: ERNEST LEVINE: CONTRACTOR ENGINEERS CO., 2310fc
W. VERNON, LOS ANGELES, CALIF.
F. BRONSON, 933 SUNSET 3LVD., LOS ANGELES 12, CALIF.
DELL E. WEBB CONSTR. CO., POX 4066, PHOENIX, ARIZONA
GEORGE 0. GARTZ - GARTZ CONSTR. CO., 3903 MISSION RD., LOS ANGELES 31
C. L. PECK CONSTR. k REALTY CO., 8l6 W. 5TH ST., LOS ANGELES 17 J. WILLIAM TURPIN & W. H. CHRISTENSEN, 10323 SEPULVEDA BLVD.,
SAN PER -.'Ai'.DO, CALIF.
CAHILL BROS., iwc., 350 S. >0M: ST., SrtN FRANCISCO, CALIF.
GLOBE STEEL & SUPPLY CO., I3 I3
6t h ST., LOS ANGELES 2 1 , CALIF.
THE WM. SIMPSON CONSTR. CO., 2401 BEVERLY BLVD., LOS ANGELES 57
DAVID W. GORDON, 3844 GIRARD AVE., CULVER CITY, CALIF.
HARDWICK k SON, INC., 1101 SOMERSET L,u,E, NEWPORT BEACH, CALIF. CONSOLIDATED WESTERN STEEL- DIV. U. S. STEEL CORP., BOX 2015,
LOS ANGELES 5^ CALIF.
PETER KIEWIT SONS CO., PAYROLL DEPT., 1024 OMAHA N A T 'L BANK BLDG.,
OMAHA, NEBRASKA
EDWARD M. POZZC - EDWARD M. POZZO CO., 1052 W. 6TH ST., LOS ANGELES
L. E. DIXON CO., 409 SO. CALIFORNIA, SAN GABRIEL, CALIF.
GUY T. ATKINSON CO., 10 W. (.RANGE AVE., Sa M FRANCISCO, CALIF.
MACDONALD, YOUNG k NELSON, flyO? RAILROAD AVE., OAKLAND, CALIF. JACKSON INVESTMENT CO., Cm RTCR CO. CONTR. & DEVELOPERS, 2975
W IL3HI HE BLVD., LOS ANGELES, CALIF.
CROWN CONSTR. CO. , 5059 W. PICO BLVD., LOS ANGELES, CALIF.
ODELL 0. ATKINS, BOX 84, ANAHEIM, CALIF.
LUSKEY ALUMINUM, INC., BOX 516, GLEN BURNIE, MARYLAND
DOTI ENTERPRISES INC., 6215 SUNSET BLVD., HOLLYWOOD 28, CALIF.
MEADOW ENT: Hr RISES INC., PALLADIUM 0:
NEON oALVIN, 1?50A0 RIVERSIDE DR.. NORTH
LvNO
L'wTF.
COST K. NEWBERG C H jST. CO., 2040 NORTH AS L-H'-D AVE . CHICAGO 14, ILL
FUND INS. CO., BOX 2323, LOS Aiv. LES 9005` CALIF. ATTN HAROLD SHOOP
PACIFIC INDEM. CO., 3200 WILSHIRE ELVD NTIONAL AUTOMOBILE & CASUALTY C C ., 10
ANGELES, CALIF.
LOS A -,GELES 9Cn55
CALIFORNIA
PACIFIC EMPLOYERS INSURANCE CO., LO50 WILSHIRE BLVD., LOS ANGELES CALIFORNIA
EMPLOYERS MUTUAL LIABILITY INSUR,w,CE COMPANY OF WISCONSIN, 35^
WILSHIRE BLVD., LOS ANGELES, CALIF.
STATE COMPENSATION INSURANCE FUND, BOX 213L, LOS ANGELES 9005^,
CALIFORNIA
GUARANTEE INSURANCE COMPANY, l6?l WILSHIRE BLVD., LOS ANGELES,
CALIF.
ARGONAUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS ANGELES, CALIF.
CALIFORNIA COMPENSATION & FIRE CO., 3325 WIL5WIRZ 3L;D. ,
LOS ANGl-, .S, C A L I F .
ALLIED COMPENSATION INSURANCE CO., L05C /.LUSKhE BLVD., LOS
ANOEiEBS; CALIF.
TRAVELERS INSURANCE CO., 4050 WILSHIRE '1LVD., LOS ANGELES, CALIF.
ZURICH INS. CO., 4465 WILSHIRE BLVD., L( S ANGELES, CALIF.
caMERICh N MOTORISTS INSURANCE CO., 3545 WILSHIRE BLVD., LOS ANGELES
LIBERTY MUTUAL "A", TRANSPORT INDEM.iiTx Hartford accident &
CALIF., rtTTN : J. D, H.NDERSON
j , 6006 WILSHIREBLVD., [OS .-.E'lELbS, CALIF.
, j6?0 WILSHIREBLVD., U S / GELES, CALIF.
i n d e m n i t y g o ., 5L8so. s p r i n g s t ., l o s
ANGELES, CALIF.
ENTERPRISE INSURANCE CO., - NOW MISSION INS. CO., 300 SO. HOBART,
LOS ANGELES, CALI17.
TRUCK INSURANCE EXCHANGE, BOX 2L?8, LOS a NGLl.ES 5^, CALIF.
CONTINENTAL CAS, CO., M-75 WILSHIRE 3LVD., LCa ANGELES, CALIF.
WEINGa ND, KENDIG. SIMON. ELL & CALLANAN. Oil SO. CATALINA,
LOS MISSIES, CALIF.
CLOPTON & PENNY, 63; GO. SPRING ST., L(.S ANGELES, CALIF.
ON II, GINOCCHIr L TAYLOR, 5Ll SO. SPRING ST., SUITE ?11, LOS
ANGELES, CALIF.
R. L. KAUTZ & CO., 510 W. 6TH ST., LOS ANGELES, CALIF. m o u s e r & d a l l y , 510 w. 6th s t ., l o s An g e l e s , c a l i f . e a r l y , m a s l a c h , f o r a n & w i l l i a m s , b o x 2L 7 8 , LOS ANGELES
5^f
CALIF.
a TTN: DONALD BRAUN
ALL PARTIES SERVED APPLICATION:
PAGE T 7 T
A pril 17, 19#*
Mr. B. P. Shriver Alexander Agency, Inc. 3l6 Fourth Avenue Pittsburgh, Pa. 15222
Dear Bev:
Subject:
Gus Addison vs
C. L. Peck, et &1
Claim No. 63 L.A.
260-2k0
Enclosed is a Notice of Hearing in the above-captioned case.
Sincerely yours,
SLK Enclosure
Wallace B. Hofferth Assistant General Manager Insurance Department
INDUSTRIAL ACCIDENT COMMISSION STATE 0? CALIFORNIA
GUS ADDISON
Applicant
VS
C. L. PECK, ET AL SEE ATTACHED APPLICATION
NSTICE 0? HEARING
)Ca88 No. 63 L.A. 260-2*10
Defendants
You are hereby notified that an application' for compensation (a copy r.f which Is attached hsroto) has been filed with the Industrial Accident Commission of the State of California. You are further notified that said application has been set for hearing at
4107 LOS ANGELES STATE OFFICE BUILDING, 107 SOUTH 3ROADWAY
LOS ANGELES, CALIFORNIA
APRIL 22, 1964
9>00 A.M. HALF DAY
and that at said time and place the Industrial Accident Commission of the State of California will proceed to hear and dispose of the said application in the manner prescribed by law.
NOTE The parties are expected to submit all issues in controversy for decision at this hearing; therefore, all necessary witnesses,
evidence, documents, medical report3 , payrolls, and other essential
proof must be available and ready for submission at the hearing.
DATED LOS ANGELES, CALIFORNIA APRIL 9, 1964
INDUSTRIAL ACCIDENT COMMISSION By William Kaplan
Assistant Secretary
The undersigned certifies that as an employee of the Industrial Aocldent Commission she served the foregoing notice on the parties hereinafter mentioned, at the time set opposite their respective names, by depositing a copy of said notice attached to a copy of the application therein mentioned, in a sealed envelope In the United States mail on said day, at Los Angeles, California, with the postage thereon fully prepaid, and addressed to the said parties at their last known places of business or residence, as follows, to wit
NAME AND ADDRESS OF PERSONS SERVED:
SEE ATTACHED LIST FOR SERVICE;
Fa r r * Pi nok
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OP Ti! STATS OF CALIFORNIA
) )
)
GUS ADDISON
)
)
Applicant
. \)
i
)
)
C. L. PECK, ET AL (SEE ATTACHED
)
APPLICATION) - AND - PACIFIC INDEMNITY
COMPANY, A CORPORATION: NATIONAL
)
AUTOMOBILE AND CASUALTY COMPANY,.A )
CORPORATION PACIFIC EMPLOYERS
)
INSURANCE COMPANY, A CORPORATION
)
Case No. 63
ORDER PARTIES
L.A. 2 6 0 - 2 k &
JOININO DEFENDANT
EMPLOYERS MUTUAL LIABILITY INSURANCE \
COMPANY OP WISCONSIN, A CORPORATION:
STATE COMPENSATION -INSURANCE FUND: '
GUARANTEE INSURANCE COMPANY, A
CORPORATION: ARGONAUT INSURANCE
COMPANY, A CORPORATION: CALIFORNIA
COMPENSATION AND FIRE COMPANY, A
CORPORATION: ALLIED COMPENSATION
{
INSURANCE COMPANY, A CORPORATION: {
TRAVELERS INSURANCE COMPANY, A
l
CORPORATION: ZURICH INSURANCE
j
COMPANY, A CORPORATION AMERICAN
{
MOTORISTS INSURANCE COMPANY, A
'
CORPORATION: LIBERTY MUTUAL INSURANCE
COMPANY, A CORPORATION TRANSPORT )
INDEMNITY COMPANY, A CORPORATION:
)
HARTFORD ACCIDENT AND INDEMNITY
)
COMPANY, A CORPORATION ENTERPRISE )
INSURANCE COMPANY, A CORPORATION
)
(NOW MISSION INSURANCE COMPANY):
)
TRUCK INSURANCE EXCHANGE, AN INTER- )
INSURANCE EXCHANGE CONTINENTAL
)
CASUALTY COMPANY, A CORPORATION
)
Defondanta
)
______ __ _ .
_
4
GOOD CAUSE APPEARING THEREFOR:
IT IS HEREBY ORDERED THAT - PACIFIC INDEMNITY COMPANY, A CORPORATION
NATIONAL AUTOMOBILE AND CASUALTY COMPANY, A CORPORATION: PACIFIC
EMPLOYERS INSURANCE COMPANY, A CORPO:iA?ION : EMPLOYERS MUTUAL
LIABILITY INSURrtNCE COMPANY OF WISCONSIN, A CORPORATION: STATE
COMPENSATION INSURANCE FUND GUARANTEE INSURANCE COMPANY, A
CORPORATION: A500HAT INSURANCE COMPANY, A CORPORATION:
CALIFORNIA COMPENSATION AND FIRE COMPANY, A CORPORATION: ALLIED
COMPENSATION INSURANCE COMPANY, A- CCiPORATfry
TRATELER3
INSURANCE COMPANYj A CORPOPATION ; ZURICH INSURANCE COMPANY, A
CORPORATION: AMERICAN MOTORISTS INSURANCE ^ . . f*r
Knrf\\J g1Xd1 Va duTaI wa *T^wM***
LIBERTY MUTUAL INSURANCE COMPANY, A CORPORATION: TRANSPORT
INDEMNITY COMPLY, A CORPORATION HARTFORD ACCIDENT AND INDEMNITY
COMPANY, A CORPORATION: ENTERPRISE INSURANCE COMPANY, A
CORPORATION (NOW MI PSION "'SURANCE COMPANY ) TRUCK INSURANCE
EXCHANGE , AN INTKR-INSURAPCS r u *\rn,v
-m%iNr'^TT*fi1,*r4 CASUAI
COMPANY, A CORPORATION!
be joined aa parties defendant In the above entitled cause.
______'William Mgplan
fjree INDUSTRIAL ACCIDENT COMMISSION
GUS ADDIS N, I3O2 W. 42 'JD ST., LOS -.NOELES 90037, TALI ?,
LEVY, DEH' Y , G h-PNLR, ,'.2.LDN GLGv. , 1$20 I L S i I I R I B LVD* , L.A.
DONALD P. SHAW, 1901 BLAKE AVE.i LOS ANGELES 90029, CALI?.
C. L. PECK, 223 H. W. HnLLMAN P .DO. *54
SPRING ST., LOS ANGELES
H. -T. DAUM, 6803 WEST :JLVD, , IAOLT-CCD, CALI?.
OOBELNIK CO., 117 SO. POLS-Tin PL., LOS ANGELES, CALIP.
FORD J. TWAITS, EDNA M. TWAITS & J. TW.,ITS: TV.'AITS COMPANY, 449 SO.
BSa Hj RY, LOS ANGELES 17, CALIF.
H. E. CAMPBELL, 3l E. WEBER, COMPTON, CALIFORNIA
STILES 0. CLEMENTS ROBERT E. MILLSa P, 1135 VAN NUYS BLDG., 210 W. ??H ST., LOS ANGELES, CALIF.
ALCO CONSTRUCTION CO., 5^23 FLEMISH VILLAGE LANE, LOS ANGELES,
J. K. THOMAS THEODORE A. BEYER COUP., 1151 30. BROADWAY, RM. 533
LOS ANGELES, CALIF.
N. M* CALHOUN, 845 NORTH HIGHLAND AVE., LOG ANGELES, CALIP.
J. E. BURRELL & SONS, 522 SAN FE/D CISCO ATE., LONG BEACH 12, CALIF.
LEONARD B. CARTER, 121;4 GREFN AVE., VENICE, CALIP.
i) 4 B CONSTRUCTION CO. INC-, 9171 WIL3HIH2 B LVD. , BEVERLY HILLS
E, C. NESSEP, 482 W. JEFFE.-'SON ST., LOS ANGELES, CALIP.
/.ETNA CONSTRUCTION CO., 6 '<J 30. WITMER ST., LOS ANGELES, CALIP.
PAHKHILL WADE, 1625 SO- ALa /EDA ST., LOS ANGELES, CALI?.
/. C. B EGGS, 2122 BERKLEY ,,VF., LOS ANGELES, CALIF.
1TANT RUBBER & ASBESTOS WORKS, 537 BR./LAN ST., SAN FRANCISCO, CALIP.
'IN N. SCHLEWE, > 1 NORTH PULLER AVE., LOS ANGELES, CALIF.
LCWE*S INC., 1540 BROADWAY, NEW YORK, NEW YofiK
PEPU3LIC PRODUCTIONS, INC., 0024 RADFORD AVE., NORTH HOLLYWOOD, CALIP
KNDET CORK CORP., 65 SO. 11TH ST., BROOKLYN, NEW YORK
DAVIES & KEUSDER M. M. DAVIES: W. W. KEUSDLR 0. P. BROWN, 116& /. LARCHMONT, LOS ANGELES, CALIP.
I ARMSTRONG CORK CO., LIBERTY A CHARLOTTE STS., LANCASTER, CALIF. MARINE ENGINEERING & SUPi l.Y (.0., 941 E. 2.JD ST., LOS ANGELES 12 CECIL WITT, 6627 SO. WILTON PL., LOS ANGELES, CALIP.
POZZO CONSTRUCTION CO., 2403 RIVERSIDE DR., LOS ANGELES, CALIP.
ROY KASHNER, ROY KASHNER CO., ?04 SO. SPRING ST., LOS ANGELES, CALIP. W. E. ROBERTSON CO., WALTER E. ROBERTSON MAX MALTZMAN, 4015
WEST AEPPERSON, LOS ,,NGKLF.S, Ch LIF.
C. W. DRIVER, INC., 2613 TEMPLE ST., LOS ANGELES 26, CALIP. BASSO-SCIUREA REDDELL, JOHN 3AS30: N. SCIURBA, & J. T. REDDE LL,
807 SUNSET BLVD., LOS ANGELES 12
A. V. PERKINSON, 114-9 NORTH LAS PALMAS, LOS ANGELES, CALIP.
STANTON HEED CO. - HAROLD E. REED: FORREST STANTON 8 l6 W. 5TH ST.
LOS ANGELES 13, CALIF.
P. J. WALKER CO., 3900 WHITESIDE ST., LOS ANGELES 6 3 ,' CALIF. BARUCH CORPORATION, 5655 WIL5HIBE BLVD., LOS ANGELES, CALIF.
ERNEST POTTS, FRED c. POTTS CO., 259 S O . BEVERLY D R ., BEVERLY HILLS STEED BROS.', 714 DATE AVE. , ALHAMBIU, CALIF.
BOYD H. GIBBONS, 640 SO. WALL ST., LOS ANGELES 14, CALIF.
BUTTRESS MC CLELLAN, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKER-EVANS CONTRACTORS, 6631 E. 26?H ST., EAST LOS ANGELES, CALIF
JOHN ,,. KILAB^UIST, 6l8 SO. WESTERN AVE , LOS ANGELES, CALIF. H. HAROLD JACKSON & NM. F. JACKSON, JACKSON n R05 , 34,"*. W. 6TH ST.
LOS AWELSE, C'AKl F.
ICU7S C. DUNN, INC., 681 MARKET ST., S,,N FRANCISCO, CALIF. F '.GOLD W. UNDERFILL, 4390 VALLEY RIDGE AVE., LCS ANGELOS 43, CALIF. FLANK BEER, 201? WILMO/T, LOS ANGELES 7 , CALIF. J/'-TPH SCHUCK- SCHUCK CONSTR. CO., 1937 W. 62ND ST., L03 ANGELES 47 PAL CONSTR. CO., GEC. M. G. M . PARDEE, JR., 10639 SANTA MONICA
BLVD.,- LG3 ANGELES 25>0,,LIF.
C. L. PECK - C. 0. PECK VIOLA CURTIS DECK, 40? ARCHITECTS BLDG., 816 W. 5T H S T . , LOS ANGELES, CALIF.
WOODROW FRAHKLYN LAP.EMORE, 1547 0 . MAiv HATT.'-.N P L . , LOS ANG trirr c a ; F . C. FREDERICKLON i C. ... ALLER - 212 13TH S T . , SACRAMENTO, CALIF.
n ' r. '
TU>\i x. S v*0 ., LTD ic VAa' H. rtITT.-..,;UKH3
SO. EI.*. >
its-v i t :libero c o ., 507 SS'CiS 1 7 , CALIE.
ROSS CONSTR 'CTION COEP., 2 C7 1,1KWI ivC i^.. AVE., LOS \NGELES, 64
CHARLES R. wNSLFY, 2515 All 1.. A Y , i'\'riLi\iDL C *11F
iiNL-KnNVI^LE S.-^LES CORP., 22 Sa ST 40 TH ST [ NEW YC1K 16, NEW YORK
ESCHERICK BROS., INC., 6*5 SO. AVE. 21, LOS ANGELES 31, CALI?. JACK A WACHS & ALBERT 0. POPS -- J . .1. POST GPNSTR. CO., 2507 E.
IMI ERIAL, LOS A.wtLES, CALI?. SAM GERBER, C/0 EVRON, 6ll VENTURA .PLVD. , HNCILO, CALIF. F. J. TWAITS CO. & MOBRISOH-KNUDSEN CO., INC., LA0 SO. BEAUDRY AVE.
LOS 'ANGELES 17, CALIF. WARREN DRIVER & CLARENCE DRIVER: DRIVER CONSTR. CO.*, 10910 KINROSS
AVE. , LOS ANGELES 24, CALI?.
THORPS INSULATION CO..
SO. YATES AVE., LOS nNGELES
CALIE.
C. fl. BRAUN ic CC. , 1000 SO. i*REMONT AVE. iLHAM RA, CALIF.
FUANE CORPORATION, 4934 N. VmLNUT GROVE V: , S\N GABRIEL, CALIF.
ALBERT JOHN PAC/ L, 10410 PUREa w K BLVD., NORTH HOLLYWOOD, CALIF.
CECRGE A. PULLEF CO., 597 MADISON AVE., NEW YORK, NEW YORK
:s, tr.hXELEY PLYWOOD CO., i'lVl FIDDLE HARBOR Hi). , OAKLAND 20, CALIF.
i'.SZO CONSTRUCTION CO
'* , l QQ J L AVE . LOS ANT
CALIF.
EUGENE MC DANIEL MC LaNIEI. CONSTR. Co!, 11040 AF.ERY AVE. ,
SOUTH GATE, C/LIF.
HOLMES NARVEH, 828 SO. FIGUEROA, LOS ANGELES, CALIF.
MACK J. FRIEDMAN* ERNEST LEVINE: CONTRACTOR ENGINEERS CO., 231^
W. VERNON, LOS ANGELES, CALIF.
F. 3RONSON, 933 SUNSET 3LVD., LOS ANGELES 12, CALIF.
TELL E. WEBB CONSTR. CO., FOX 4066, PHOENIX, ARIZONA
GEORGE C. L.
0. CARTZ -
PECK CONSTR.
G
ak
RTZ CONSTR. REALTY CO.,
CO..
616
3903 MISSION RD., LOS ANGELES
W. 5TH ST., LOS ANGELES 17
31
J. WILLIAM TURPIN W. H. CHRISTENSEN, 1032R SEPULVEDA BLVD.,
SAN KEHiAr.DO, CALIF.
CAHILL BROS., IC. , 350 Sa .SOME ST., S.-.N FRANCISCO, CALIF.
GLOBE STEEL A SUPPLY CO., 1)13 E. 6TH ST., LOS ANGELES 21, CALIF.
THE WM. SIMPSON CONSTR. CO., 2401 BEVERLY BLVD., LOS ANGELES 5?
DAVID W. GORDON, 3844 OIRARD AVE., CULVER CITY, CALIF.
HARDWICK & SON, INC., 11C1 SOMERSET LrA.E, NEWPORT BEACH, CALIF.
CONSOLIDATED WESTERN STEEL- DIV. U. S. STEEL COR?., BOX 2015,
LOS ANGELES 5^ CALIF.
PETER KIEWIT SONS CO., PAYROLL DEPT., 1024 OMAHA N A T L BANK 3LDG.,
OMAHA, NEBRASKA
EDWARD M. POZZC - EDWARD M. POZZO CO., 1052 W. 6TH ST., LOS ANGELES
L. E. DIXON CO., 409 SO. CALIFORNIA, SaN GVRIEL, CALIF.
GUY T. ATKINSON CO., 10 W. (RANGE AVE., SAN FRANCISCO, CALIF.
MACDONALD, YOUNG A NELSON, 8y07 RAILROAD AVE. , OAKLAND, CALIF.
JACKSON INVESTME.iT CO., CaRTER CO. CONTR. DEVELOPERS, 2975
WIL3HIRE BLVD., LOS ANGELES, CALIF.
CROWN CONSTR. CO., 5 0 5 9 w. PICO BLVD., LOS ANGELES, CALIF.
ODELL 0. ATKINS, BOX 84, ANAHEIM, CALIF.
LUSKEY ALUMINUM, INC., BOX 516, GLEN HURNIE, ` MARYLAND DOTI ENTERPRISES INC., 6215 SUNSET BLVD., HOLLYWOOD 28, CALIF.
MEADOW ENTS? PRISES INC., PALLADLUM 0.'
LEON CALVIN, 1250O0 RIVERSIDE DR., NORTH
L**WO 'J..
TF.
GUST K. NEWBERO : ST . CC., 204C N 'AIM Aw '.C'.J AVE., Co ICAGO 14, ILL.
FIREMAN'S FUND INo CC., BOX 2323. LOS ANGELUS 9OC5 4 , C-.LIF. ATTN: HAROLD SHOOP
PACIFIC INDEM. CO, 3200 WILSHIRE BLVD., LOS ANGELES, CALIF.
.WIGI/AL AUTOMOBILE. & CASUALTY CO., SOX 5?G. LO3 ANGELES 9 0 ^ 5
CALIFORNIA
PA~E II
PACIFIC EMPLOYERS INSURANCE CO., 1*050 WILSHIRE BLVD. , LOS ANGELES CALIFORNIA
EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, 35^
WILSHIRE BLVD., LOS ANGELES, CALIF.
STATE COMPENSATION INSURANCE FUND, BOX 213**, LOS ANGELES 90059, CALIFORNIA
GUARANTEE INSURANCE COMPANY, 1671 WILSHIRE BLVD., LOS ANGELES,
CALIF.
ARGONAUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS ANGELES, CALIF.
CALIFORNIA COMPENSATION & FIRE CO., 3325 WILSHIRE BL/D.,
LOS ANGELES, CALIF.
ALLIED COMPENSATION INSURANCE CO., 9050 wILSF'.RE BLVD., LOS
ANGELES, C\LIF. TRAVELERS INSURANCE CO., 9050 WILSHIRE l' LVD. , LOS ANGELES,
ZURICH INS. CO., 9965 WILSHIRE BLVD., L( S ANGELES, CALIF.
AMERICAN MOTORISTS INSURANCE CO., 3595 WILSHIRE BLVD., LOS
CALIF., ATTN: J. D. HENDERSON
CALIF. ANGELES
LIBERTY MUTUAL 7 b "'. "0 . *006
TRANSPORT INDEMNITY Uw , 3670
Hartford accident & indemnity
WILSHIRE BLVD., LOS aXGEL&S,
WILSHIRE BLVD., LUS A:'GELES,
:o ., 598 so. s p r i n g s t ., l o s
ANGELES, CALIF.
CALIF. CALIF.
ENTERPRISE INSURANCE CO., - NOW MISSION INS. CO., 300 SO. HOBART,
LOS ANGELES, CALI*.
TRUCK INSURANCE EXCHANGE, BOX 29?8, LOS ANGELES 59, CALIF.
CONTINENTAL CAS. CO., 2^75 WILSHIRE BLVD., LOS ANGELES, CALIF.
WEINGAND, KEN DIG, S T O C U E L L CALLANAN, M l SO. CATALINA, LOG aNO ELKS, CALIF.
CLOPTON A PENNY, 633 SO. SPRING ST., LOS ANGELES, CALIF. ZONNI, GINOCCHIO & TAYLCR, 591 SO. SPRING ST., SUITE 711, LOS
ANGELES, CALIF.
R. L. KAUTZ CO., 510 W. 6TH ST., LOS ANGELES, CALIF. MOUSER & DrtLLY, 510 W. 6TH ST., LOS ANGELES, CALIF.
EARLY, MASLACH, PORAN & WILLIAMS, BOX 29?8, LOS ANGELES 5^, CALIF.
ATTN: DONALD'BRAUN
ALL PARTIES SERVED APPLICATION?
P *GE III
COURT 1*0210 Calc Ao o r c s s Alc xca no
T e u cT Y P e PG 0 9 1
A LE X A N D E R AGENCY, INC.
IN S U R A N C E -W O R LD WIDE SIN C E 1 8 5 3
316 FOURTH AVENUE PITTSBURGH, PA. 15222
February 27, 1^04 ( Thursday)
/ :
/ >
y y "'
Mr. Wallace R. Hofferth
Insurance Departrent
Armstrong Cork Company
r
Iancaster, Pennsylvania
Dear Wally:
Re: Hub Addison
I have sent the papers on to our Los Angeles Office for their attention.
Very truly yiJOrs,
<7 /
X
. V,/
y
PRS:ch
Beverly R, SDriver
OUR i r c o ^ o CENTURY OF INSURANCE SERVICE
February 26, 196k
Mr. B. R. Shriver Alexander Agency, Inc. 316 Fourth Avenue Pittsburgh 2 2 , Pa.
Dear Bev:
Subject!
Ous Addison
vs Donald. P. Boom, et
Injury Date! 1941 IAC Rusher! 63 U
&1 to 19^3 260-240
We have been named as an additional defendant in the above-titled action. A copy of the Application filed with the California Industrial Accident Coraa.1ssion and a listing of the defendants and their insurance carriers are enclosed. This constitutes our first notice of this claim.
The claimant alleges employment with Armstrong Cork Company in 1944. Unfortunately, ve cannot confirm this employment since all records for this period have been destroyed.
The Standard Accident Insurance Company vas our insurer in 1944. Will you please pass the enclosed papers on to the Standard with the request that it take whatever action is necessary to properly protect our interest.
Sincerely yours,
SLK Enclosures
Wallace B. Hofforth Assistant General Manager Insurance Department
ABE F. LEVY GEORGE DCROY
LEO GEFFNER JA C K P. KOSZDIN M ERVIN N. GLOW A R LLIG H WOODS BARRY SAT7MAN GERALD J. TILH N AN RIC HAR D J. CANTRELL EUGENE LEVITO N EDW ARD M. M IZRAH I HENRY P. NELSON D A V ID L. ROSNER S AM U EL Z. W IN N IK O F F
W ALTER KLEIN HARVEY R. GERBER JEROME S. B ILL* " VERNON G C LC j CHh ID
ERNEST SROLOFF
LA W OFFICES
L evy, DeR oy, Geffner, K oszdlst, &
s u it e a o i
IS 2 0 W lLS H IR E BOULEVARD
LOS AN G ELES 17, C A LIF O R N IA
TutfHONC; HUllARO 9-0030 <0
Glow
February 19, 1964
i
/
Industrial Accident Commission
4107 State Building
Los Angeles 12, California
s
Re: Gus Addison vs. Donald F. Shaw, et al Injury Date: 1941 to 1963 I.A.C. Number: 63 LA 260-240
Gentlemen:
On October 29, 1963, we filed the above numbered claim on behalf of the applicant for injuries sustained in 1941 to 1963. On the basis of in formation obtained by this office from the records of the Social Secu rity Administration and the California Inspection Rating Bureau, we respectfully request that the additional employers and their workmen's compensation carriers, as appear on the attached list, be joined as party defendants to the above claim, for the period of employment indi cated.
We are this date serving these employers and carriers with a copy of the application filed and by service thereof request that they serve upon us their medical file in this matter.
We respectfully request that this claim be set for one half day hear ing at the Commission's offices in Los Angeles.
Thank you for your cooperation in this matter.
Very truly yours,
LEVY, DeROY, GEFFNER, KOSZDIN & GLOW
BY: VERNON GOLDSCHMID
" ^
V G :jfn
cc: Copy of letter and application with list sent to attached employers
and carriers.
STATE OP CALIFORNIA
IN D U STRIA L A CCID EN T COMMISSION
APPLICATION
FILE SIGNED ORIGINAL AND SIX COPIES
(PLEASE PRINT OR TYPE NAMES AND ADDRESSES)
CASE NO.
3 u
260-240
. u u a . i \ _ ii^ -J- . J lJ.A.
vs.
i " 'lo r . F n l i l t
..... -
PPueauT-- IM PIO TI!
-Street-
APPLICANT S AOORtSR
-X o s-Ang-a-l&s--^r-Californiar
Socia! Security No. ~ 5 2 d --G 5 --6 d l 2
(NP LOY CR AOORCSS
-- i l u i -- A u X i A J l U L - J U X T ----------imp ioyir -i iH V M H d carric*
J N S U R A N C I CA R i t R A D O R I
NANC O f C N PLO TI*
as a______c a r ^ c u i L c r ....................
OCCUPATI ON AT T I M S OP I NJ U RY
, . ,, 9 / 2 4 / O il- , alleges that while employed o n _ l,9 4 1 ~ C O -..... ...........
D A T I OA.P a1.SXTMu
KOiATt O(f lI NUJIUDIOIY
lxJL
^
____ C......... .
CJTT. TOWN OR P L A C f W H t R C I N JU R Y OC C UR R t O
_, California, by
SIX, AXI4ClL6D-LUI-
NAMC OP t M P L O Y t l
--, ... he sustained injury arising out of and in the course of the employment, as follows:
.jaxpoouro ta .aawauiit aruL-ust-
I (P LAIN NOW INJURY A l RCCCIVtO
.resulting in
lun- a ...... -.........
t a ii i a h i or om t i l in tu it mo t u n ia u n t n m n
2.
_______
was the employer's insurance carrier on date of injury.
a m i or i n t u . a ct c o a r t a i o l. ir I n u o t i , w it not in iv o io I t a t i a e r a l i i i t r i a iv ir o o* u n i. lu n o
r iiio o i orr w o n o u i to 111 la iu .f
o t r i i n t u i i n r u i a i o to o n
oati u sT nioictt. r u ia itaio
4. Was compensation paid?___ J,
TO T tL 1110
W CIILt IA TI
o t r i or lait r t ra ia r
5. Earnings at time of injury $
....... <s>~.................. 000ta ot w in
The basis of pay w as............ --............................ ............
t a t i ia t r m o o o i a o u iL t a t r i , n oua a oat t a o o t t i a w i n
6. Was medical treatment needed?_X 3 ..... ...........-- Who furnished treatment?--
o iv i t a i l 01 o o c t o ii n o t ii a t io r a t in t u it tao i t t t i who ia io t a i n 1111.1
7. This application is filed to determine liability fori
a. Temporary disability i-ii-S- b. Permanent disability ....'tV ,^ c. Medical treatm en t...^ y . --. d. Medical cost*-- %PS~
VC 0 NO
T t l OR NO
T C I OR NO
TCI Oi
e. Litigation expense--
- f. -- A-Ua--
TC OR NO
TATK ANT OTHCR MASON
-------------
-62-- LA-- 2->9-- hhr--rihp^^Piy---^PyhfrrTV^1'mTskO-- So LIST C A M N U r f l C R * O f ANT OTHCR A P P L IC A tl O N I f f C I O A * A A A J W A A U * o # A * N * f c * i A ,
WHEREFORE, it is requested that a time and place be fixed for hearing and that an award be made granting such relief as may be
proper under the Workmen's Compensation Laws of California.
Dated at--
-------->California, -- r e b r ^ t t r ^ y l 'T"-- i y i r 4 ----
Hearing requested at------- i & Q -
Number of witnesses Estimated time of trial.
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,
Lal AL iJXiJO'
APPLICANT (NATURI
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APPLICANT I ATTORN!
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Log An /jios 17, California
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THE DEFENDANTS IN THE GUS ADDISON CASE DATE OF INJURY: 1941 to 1963
EMPLOYER
PD,, OF COVERAGE AND EMPLOYMENT
1. Co L. Peck 223 H. W. Heilman Bldg. Los Angeles, California
12/31/41
2. R. J. Daum 6803 West Boulevard Inglewood, California
3/31/42 6/30/42
3. Gorelnik Company 117 South Poinsetta Place Los Angeles, California
3/31/42
4. Ford J. Twaits, Edna M. Twaits & J. Twaits Twaits Company 449 South Beaudry Los Angeles 17, California
3/31/42 to
12/31/42
5. P. E. Campbell 316 East Weber Compton, California
6/30/42 9/30/42
6. Stiles 0. Clements & Robert E. Millsap 1135 Van Nuys Bldg. Los Angeles, California
6/30/42
7. Alco Construction Company 5423 Flemish Village Lane Los Angeles, California
6/30/42
8. J. K. Thomas & Theodore A. Beyer Corporation 1151 S o . Broadway, Rm. 533 Los Angeles, California
6/30/42
9. N. M. Calhoun 845 North Highland Avenue Los Angeles, California
6/30/42 3/31/43
10. J. E. Burrell & Sons 522 San Francisco Avenue Long Beach 12, California
6/30/42
11. Leonard B. Carter 12134 Green Avenue Venice, California
3/31/42
12. D & B Const. Co., Inc. 9171 Wilshire Boulevard Beverly Hills', California
9/30/42 3/31/43
13. E. C. Nesser 4822 West Jefferson St. Los Angeles, California
9/30/42
CARRIER No record
No record
No record
No record
No record
No record
No record
No record
No record
No record
National Auto. & Cas. Ins. Co a corp. P. 0. Box 5780 Los Angeles 55, California National Auto. & Cas. Ins. Co a corp. P. O. Box 5780 Los Angeles 55, California
-2 -
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
14. Aetna Construction Co. 631 South Witmer Street Los Angeles, California
9/30/42
15. Parkhill Wade 1625 South Alameda Street Los Angeles, California
3/31/43 to
9/30/43 9/30/52 12/31/52
16. W. C. Beggs 2122 Berkeley Avenue Los Angeles 26, California
9/30/43
17. Plant Rubber & Asbestos Wks . 9/30/43
537 Brannan Street
12/31/43
San Francisco, California
6/30/44
9/30/44
18. Ben N. Schlewe 361 North Fller Avenue Los Angeles, California
12/31/43
19. Loew's Incorporated 1540 Broadway New York, New York
12/31/43
20. Republic Productions, Inc. 4024 Radford Avenue North Hollywood, California
3/31/44 3/31/46 9/30/46
21. Kndet Cork Corporation 65 South llth Street Brooklyn, New York
6/30/44
22. Davies & Keusder M. M. Davies, W. W. Keusder and G. P. Brown 116*5 North Larchmont Los Angeles, California
3/31/44 6/30/44
^23. Armstrong Cork Company Liberty & Charlotte Streets Lancaster, Pennsylvania
6/30/44
24. Marine Engineering & Supply Company 941 East Second Streut Los Angeles 12, California
9/30/44 12/31/44
3/31/45 6/30/45
25. Cecil Witt 6227 South Wilton Place Los Angeles 44, California
6/30/45 to
12/31/45 6/30/46
26. Pozzo Construction Company 2403 Riverside Drive Los Angeles 26, California
12/31/45
CAR:HER No record No record
No record Pacific Employers Ins. Co a corp. 4050 Wilshire Boulevard Los Angeles 5, California No record No record No record No record No record
No record No record
No record
No record
-3-
EMPLO'sER
PD. OF COVERAGE AND EMPLOYMENT
27. Roy Kashner Roy Kashner Company 704 South Spring Street Los Angeles 14, California
12/31/45 3/31/46
28. V?, E. Robertson Company Walter E,, Robertson & Max Maltzman 4015 West Jefferson Bivd. Los Angeles 16, California
3/31/46
29. C. W,, Driver. Inc. 2618 Temple Street Los Ar.geles 26, California
3/31/46 9/30/51 12/31/51 6/30/53 9/30/53
30. Basso-Sciurba Reddell John Basso. N. Sciurba f* J. T. Reddell 807 Sunset Boulevard Los Angeles 12, California
3/31/46
31. A. V. Perkinson 1149 North Las Palmas Los Angeles 38, California
9/30/46 3/31/47
32. Stanton Reed Company Harold E. Reed Focrest Stanton 816 West Fifth Street Los Angeles 13, California
6/30/46 9/30/46 3/31/47
to 12/31/47
3/31/48 to
12/31/48 12/31/49
3/31/50
33. P. J. Walker Company 3900 Whiteside Street Los Ar.geles 63, California
6/30/48 9/30/53
34. Baruch Corporation 5655 Wilshire Boulevard Los Angeles 36, California
3/31/48
35. Ernest Potts Fred E. Potts Company 259 South Beverly Drive Beverly Hills, California
6/30/48
36. Steed Bros., a corp. 714 Date Avenue Alhambra, California
12/31/48
37. Boyd H. Gibbons, a corp. 640 South Wall-Street Los Angeles L4, California
3/31/49
38. Buttress & McClellan, Inc. 6456 York Boulevard Los Angeles 42, California
3/31/49 6/30/49
CARRIER No record
No record
No record Pacific Indemnity C o . ( a corp. 3200 Wilshire Boulevard Los Angeles, California No record
No record No record
No record No record No record
No record No record Pacific Employers Ins. Co a corp. 4050 Wilsh.re Bou" a^d Los Angeles 5, C a m o r n i a
-4-
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
39. Shumaker-Evans Contractors 6/30/49 a corp. 6631 East 26th Street
E. Los Angeles 22, California
40. John A. Kilarquist 618 South Western Avenue Los Angeles 5, California
6/30/49 9/30/49
41. H. Harold Jackson &
9/30/49
Wm. F. Jackson, Jackson Bros1.
3475 West Eighth Street
Los Angeles 5, California
42. Louis C. Dunn, Inc.
12/31/49
681 Market Street
San Francisco 5, California
43. Harold W. Underhill 4958 Valley Ridge Avenue Los Angeles 43, California
12/31/49
44. Frank Beer 2017 Wilmont Los Angeles 7, California
6/30/50
45. Joseph Schuck Schuck Construction Co. 1937 West 62nd Street Los Angeles 47, California
6/30/50
46. Pardee Construction Co.
6/30/50
George M. & G. M. Pardee, Jr to
10039 Santa Monica Blvd.
12/31/50
Los Angeles 25, California
47. C. L. Peck C. L. Peck & Viola Curtis Peck 407 Architects Building Los Angeles 13, California
3/31/51 to
9/30/51
48. Woodrow Franklyn Laremore 1547 South Manhattan Place Los Angeles 19, California
12/31/51
49. F. C. Frederickson & C. E. Kasler Frederickson & Kasler 212 13th Street Sacramento, California
12/31/51 3/31/52
50. Twaits Co. Ltds. & C. H. Wittenberg Twaits Wittenberg Company 507 South Bixel Los Angeles 17, California
3/31/52 to
9/30/52 6/30/55
51. Ross Construction Corp. 2207 Lir.nington Avenue Los Angeles 64, California
12/31/52 3/31/53 6/30/57
CARRIER No record
No record
No record
Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California No record
No record
No record -
No record
No record
No record
No record
No record
No record National Auto, & Cas. Ins. Co. a corp. P . G .Box 5780, L.A. 55, Calif. Calif.ComD. & Fire Co., a corp. 3325 Wilshire Qlvd., L.A. 5, Cali
EMPLOYER
52. Charles R. Hensley 2515 Albert Way Arcadia, California
-5-
PD- OF COVERAGE AND EMPLOYMENT
12/31/52 3/31/55
12/31/59
53. John Manville Sales Corp. 22 East 40th Street
L~New York 16, New York
54. Escherick Bros. Inc. 645 South Avenue 21 Los Angeles 31, California
3/31/53
3/31/53 9/30/57
55. Jack A. Wachs & Albert 0. Pops J. A. Post Construction Co. 2507 East Imperial Los Angeles 59, California
3/31/53
56. Sam Gerber 23643 Emelita Street Woodland Hills, California
3/31/53
57. F. J. Twaits Co. & Morrison Knudsen Company, Inc. 440 South Beaudry Avenue Los Angeles 17, California
6/30/53
58. Warren Driver & Clarence Driver Driver Construction Company 10910 Kinross Avenue Los Angeles 24, California
9/30/53
59. Thorpe Insulation Co. a corp. 2741 South Yates Avenue Los Angeles 22, California
9/30/53
50. C. F. Braun & Co., a corp. 1000 South Fremont Avenue Alhambra, California
12/31/53 3/31/54 to 9/30/54
51. Ruane Corporation 4934 N. Walnut Grove Ave. San Gabriel, California
9/30/54 12/31/54
>2. Albert John Pacal 10410 Burbank Boulevard No. Hollywood, California
12/31/54
>3. George A. Fuller Company 597 Madison Avenue New York, New York
3/31/55 6/30/55
6/30/60
CARRIER
No record
Allied Comp. Ins. Co., a corp. 4050 Wilshire Boulevard Los Angeles 5, California
Travelers Insurance Co., a corpi. 3600 Wilshire Boulevard Los Angeles 5, California
No record State Compensation Insurance P. 0. Box 2134 Los Angeles 54, California
Fund
No record
No record No record No record
Fireman's Fund Ins. Co.,a corp. 3223 West 6th Street Los Angeles 54, California
American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California
Industrial Indemnity Co.,a corp. Box 2252 Los Angeles 54, California
American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California
Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California
Industrial Indemnity Co.,a c^rp. Box 22 52 Los Angeles 54, California
-fa -
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
64. Berkeley Plywood Co., a corp. 1401 Middle Harbor Road Oakland 20, California
3/31/55
65. Pozzo Const. Co., a corp. 970 Virgil Avenue Los Angeles 29, California
6/30/55 9/30/55
66. Eugene McDaniel McDaniel Construction 11040 Amery Avenue South Gate, California
6/30/55
67. Holmes & Narver, a corp. 828 South Figueroa Los Angeles 17, California
6/30/55 12/31/55
3/31/56 6/30/56
6 8 . Mack J. Friedman, Ernest Levine Contr. Engineers Co. 2310^ North Vernon Los Angeles 8, California
9/30/56 12/31/56
69. F. Bronson 933 Sunset Boulevard Los Angeles 12, California
12/31/56
70. Dell E. Webb Constr. Co., a corp. P. 0. Box 4066 Phoenix, Arizona
3/31/57
71. George 0. Gartz Gartz Construction Co. 3908 Mission Road Los Angeles 31, California
12/31/57
72. C. L. Peck Construction & Realty C o . , a corp. 816 West Fifth Street Los Angeles 17, California
12/31/57 3/31/58
73. J. William Turpin & W. H. Christensen 10823 Sepulveda Boulevard San Fernando, California
6/30/57
74. Camill Brothers, Inc. 350 Sanbone Street San Francisco 4, California
3/31/58
75. Globe Steel & Supply Co. 1313 East Sixth Street Los Angeles 21, California
6/30/58
76. The Wm. Simpson Const. C o . , 9/30/58
a corp.
12/31/58
2401 Beverly Boulevard
Los Angeles 57, Cai !.riaa
S
1`t
'j CARRIER
Liberty Mutual Ins. Co. , a corp.. 6006 Wilshire Boulevard Los Angeles 36, California
Transport Indemnity C o . , a corp. 3670 Wilshire Boulevard Los Angeles 5, California No record
Hartford Accident & Indemnity Co a corp. 548 South Spring Street Los Angeles 13, California Enterprise Ins. Co., a corp. 300 South Hobart Los Angeles 5, California
No record
Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California No record
Truck Ins. Exchange, an inter-insurance exchange Box 2478 Los Angeles 54, California No record
No record
National Auto. & Cas. Ins. Co., a corp. P. 0. Box 5780 Los Angeles 55, California Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California
-7-
EMPLOYER
PD. OF COVERAGE AND EMPLOYMENT
77. David W. Gordon 3844 Girard Avenue Culver City, California
6/30/58
78. Hardwick & Son, Inc. 1101 Somerset Lane Newport Beach, California
3/31/59
79. Consolidated Western Steel Division - U. S. Steel Corp. P. 0. Box 2015 Terminal Annex Los Angeles 54, California
3/31/59
80. William J. Moran Company 1011 South Fremont Avenue Alhambra. California
3/31/59
81. Peter Kiewit Sons Company 12/31/59 Payroll Department 1024 Omaha Nat'l. Bank Bldg. Omaha 2, Nebraska
82. Ford J. Twaits, Carl H. Wittenberg 507 South Bixel Street Los Angeles 17, California
6/30/60 9/30/60
83. Edward M. Pozzo Edward M,, Pozzo Company 1052 West Sixth Street Los Angeles 11, California
6/30/60
84. L. E. Dixon Company, a corp. 6/30/61
409 South California
9/30/61
San Gabriel, California
85. Guy T. Atkinson Company
9/30/61
10 West Orange Avenue
S. San Francisco, California
86. MacDonald, Young & Nelson 8907 Railroad Avenue Oakland, California
87. Jackson Investment Co. a corp. Carter Co. Contr. & Developers 2975 Wilshire Boulevard Los Angeles 5, California
88. Crown Constr. C o . , a corp. 5059 West Pxco Boulevard Los Angeles 19, California
89. Odell 0. Atkins Box 84 Anaheim, California
12/31/61 3/31/62 3/31/62 6/30/62
9/30/62
9/30/62
CARRIER
Industrial Indemnity C o . , a corp. Box 22 52 Los Angeles 54, California
No record
Liberty Mutual Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California
Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California
Liberty Mutual Fire Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California
No record
Zurick Insurance Co., a corp. 4465 Wilshire Boulevard Los Angeles 5, California
Argonaut Ins. C o . , a corp. 1001 Wilshire Boulevard Los Angeles 17, Californie*
Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California
Argonaut Insurance C o . , a corp. 1001 Wilshire Boulevard Los Angeles 17, California
Continental Casualty Co.,a corp. 2975 Wilshire Boulevard Los Angeles 5, California
Industrial Indemnity Co.,a coro. Box 2252 Los Angeles 54, California
Travelers Insurance Co., a corp. 3600 Wilshire Boulevard Los Angeles 5, California