Document 3N0dwz6XnwME5JkZR9BVwQEVJ

FILE NAME: Quintec (QUIN) DATE: 1960 DOC#: QUIN001 DOCUMENT DESCRIPTION: WC Claim - Riley R IL E Y , J a m e s W. o f ,, i /; H'W - tN|U * IJ.` (4 * ` *' >'... SS `.i .\1VI-m , A m ic A n e w fPiM th %**cl t CASE NO. ,.1>'1iLr>--. j!*"*1**v *r*tui* fc**'.* ' t* 4 t -J'itijr /**,** -V** Mr. 'Ml ft* ; ;..< ^ ./ 1 Vr.il "irionr* No. su* w ** . . . ... . t .......... a > ^ . . 'r r c s s i . riJ***'*'.$ V i. w.^ 1 >.* I *. <.*.* 41 U m i .l i t * .i* | jk,, lyr* .** * . -,* *iX7xJ- t. An>i.ru ,1 ^ ,. ihu * . iw v l*it>i{.za".s. 4* .... I. *# ..... Ht>> V V`t ^ 'jf * v*r4 >-4 .* .** 1 ' -ii . , `-J\ * ."*^ *'* /W?iU- i*V,,-->|*.* * ! *s ni i * * * 1 * .. 4 . <l )rlf.k-UF I'osiiitkil vii-tfiv if I1.:>., .tie t<f and m lit*i.-m*rf fiJ'loymLiH, J\ ?;" tivi * I r ^ i o a i t i r . V Ix^tcJsy C ; ^ a lT -it*ir?ri*ni.*<i>_ft .__ ' remltinjt m l.*ith m .JtiZl* *.< *<** *i ilf <(i frt'n-ri :*si'! nce ciTcr*%<?,itr * ins'?\. V. taptoytc'i earning! at time vt injury | ;.3<:* r Th* m u * vi par * ii 1 . 4, V* eofTiyeumjos; paM?. _____ j Ma m ........... .... . f ttti#ik niHiti'i 1. V mcJi(.t trejrment mccedt. . Y^gfc -- lllMU Vho IumiiIi^ irwTnrnt?.. ...t$G^J5*ifiv5,;'LL.ll ** If t u * * t f l i v i l i C H .? **l`t -e P U H I | t | . H u burial e*ftnu been paid) .... Vi p*U il? *. The employee left JttTTiTi/il Sum the fu}l>wrt Jr^rndcnia. NAME AGt ILAt :C*N!JNS4* Hf v u o it i. i o THE EMPLVTCC t f r A C * m tr>v Arontss J^rra A; f'JiiiJ;* ..... IMPORTANT**" H ay ipplini il uaifer 71 f n o f a^c, il v:l( i t nccmirr^to iif Petition for App^rntmcotof tioarUirn .11item. Fornii for thb purpo* ni*y be obumeiJ at tie officet of tie lr Jimrial Arcuimi O^nmuMW*, t X ^ i for firmi 0 w H n t h v Vf/fSTfORR, if <1 r*4*titrJ it**i 4 />,, priyfrr mifrr -< V'or^mrn'i Com^Mier.ir ^ i 'ti>f 0/ Ci'YO*n.a t . itV Ar kAi^y rv t,-;,4.>^.ref.f/j.ag r^ rr.irf mi **'I**t/f -Ciltio' Hj., A p r i i i , J . 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'k^^Tik - t M -* * V i V **, * /te * k r Vi -M T % P -- . i # */.** t.ir*'" . .. 4 V 4 O * f- . ?' / . 1 035 1 * ' t 4 1 4 / I s I f T 1 J i I I i 1 f 1 036 s', + w>*:.'.i y * w * K ._ > y / "' ; . \ : ^ , * i/i.r:.: v. v{ v // c *, iv c ., c , A- -r l/iS r^V i ..s .J \, r,M\ -.r:v .i *,-! 'T LT, i..:i s u n -:^ v*. 4. .j.ovli-CO ,' j s.itMr * A? TT.:,:i vcxpaic-r.virL CO. v."v ivirs";.!;'? i;:o ,, lcs a:";" -vs, calif. i i7 u u , i u ; i u f i r ,, . cu* * p . 'i - Ai'.n i -. i * x .- ^ l - v . , v l V ' i * t * r : co*, ?o>: .: lovvr., i o . , ;>?5o v. <y;:*. ... , U ,*l J.W , -V i, c? u r . l# I.^r> *: ' . *^U*-s*>.t v x* iO? r.;..*, CVlLj V. c ai-o;:u .o Xl*,, rLO1'L^ra>,.;o4j.L!s..ikV>-f C\-riII.1c* 4 lly: \ ii/.v -.ari & : r;cv>; cl. , <:..v : L HILO iT . I.i'3 av;v v; al u ? r , co* ?/;:: i\ .Vj^LLS f ':.# CALIP- c c fl r :A LOS :,r.( call r::o j r c . c o , , i w o u c r LOS ,v liVlVS, v: i::.i. co ., 3cc,\ wits. i :..r * P ., 1.- *J f.u ;-; c s s>: i.ovvr.: iv s. c o ., 1033 ; none v*, , Los a::s o r to .-0 Ai, i::V (xnzl'iliit'LZs A v o irs , calif., ir,i:TxD i-Aci ic x.'v co, 6if. i;c, om; t?o i l , lcs ahqslss, ca: i f , s:/.;;v.n^ aco]L:;.;v i:>,, c v ,. ?:.? so. Kiiwsiciv rn. loz calif. clvalal^ vccil- lt .-os & U ii- i ::s cckf. , yi\i- v , 6?;- ? . # LOG CAlIF, f a t h ^ul ACTCrcn-Tur: t- casuals c o ., sox 513a :.co A;;o;.;.l3 5?> calif. L lts s iv i x v v m iv.;, coa# VA 0. hill LCo .-.i-Oi-ir;, oALir. st.;vl cci'iL.;c;iT.Lv;? ivc* r p L , lcx z i y ^ , los alcliccs calif. KETtLTHY c K ?.Li:", M2 W, GT1I CT., LOS MKZIZ CALIF, r c - C A r .T .i Y , f a i l 1 639 l h i i . o l x . , l : * , 0 uU l ;;s , c a 7_i ? . Tli'iC.i, 0 i.li.O.uir'f ] L.1DIG t Li.CK uZnL| 611 LC, CATALILA^ LOS * 1* 3*^T ^ f` T T *' StilAY, OOVirf 'L L'TTi-S, 1671 './xi'-r'irj. r4vi>V-rL0.n a:iu 7c;.s# CALI?.' C L C i 'i C i t V iL l ;* Y , 3 9 F O , S " . ; ! ' 0 L T * . LOS Al'/ L L F S j C A L I :* . BT-iorr.CA', ffLoax.::, m sijT-rrn f-x,# smi FrA.icisco, cam: hp t i t< \a I j I 4 4 t 037 l CALIFORNIA IKSFACTION RATIHG BUREAU lt*53 M ission S t r e e t San F ran o iao o 3 C a lif o r n ia December 11, 1959 H crlih y and H c rlih y S u ite 516 Park C en tral B uilding 1*12 V/est S ix th S t r e e t * Los A ngeles li*, C a l i f o r n i a A tte n tio n : K ennis T. Jones ' Gentlemen: Re: JAMES WHITC0MB RILE vs. JOHNS-KAHVILLE I.A .C . Case 57 LA 162-335 P lease r e f e r to your l e t t e r of November 16, 1959, w herein you requested the insurance c a rrie rs in connection with the above cap tio n ed, P le a se be ad v ised t h a t we have c a r e f u lly checked our re c o rd s and wish to a d v ise t h a t we have developed th e fo llo w in g In fo rm a tio n , Harry Caw - No re c o rd . A sbestos Supply Co, of Oregon - No re c o rd . W estern A sbestos Company S tate Compensation " u In s. Func - P o lic y 93221*36,11 -1 -3 6 /3 7 P o lic y 93221*37, 1 1 -1 -3 7 /3 3 P o lic y 93221*30, 1 1 -1 -3 3 /3 9 P la n t Rubber & A sb esto s Works - No re c o rd . A sbestos Company o f C a lif o r n ia - No re c o rd . M.- R. C a rp e n te r - No re c o rd . E, B, B adger i: Sons Company - No re c o rd . Bay C itie s A sb esto s Company - No re c o rd , E a r l 0, S tic e Company - No re c o rd , C. R, D utto n , C. A. L eig h to n - W estern F ib e rg la s s Supply, L td. I n d u s t r i a l Indem nity Exchange - P o licy 1*1*9333 6-9-45/U 6 w P o lic y 1*1*60711*, 3-9-1+6/1*7 Marine E n g in e e rin g & Supply Company - No re c o rd , R oderick Lynch, Lynch A sbestos Company I n d u s t r i a l Indem nity Co. - P o lic y 61*73-01137, l*-7-U7/1*8 " P o lic y 61*83-0111*5, 1*-7-1*3/!*9 Warren k B a ile y Company - Ho re c o rd . U nited Cork Company - Ho r e c o rd . P la n t I n s u la tio n Company, P a c ific Employors " " u " now known Insurance os' Thorpe I n s u la tio n Company Co. - P o licy 0-10251*9, 5-9-I*3/l*9 P o lic y C -105515 5-9-1*9/50 Policy C-106710, 5-9-50/51 P olicy 107609, 5-9-51/6-30-51 Policy 107681, 6-30-51/1-1-52 F ire m a n 's Fund In su ran ce Co, - P o lic y UC-179077, 1 -1 -5 2 /5 3 " P o licy UC-103757, 1-1-53/10-1-53 Z P o lic y UC-191*562, 1 0 -1 -5 3 /5 -JL-5U " P o lic y WCP-1509, 5-l-51*/10-l-51* * P o llc v WCP-^901. lO-l-f.iiA,*, Cork I n s u la tio n Company, In c , - No re c o rd , J , T. Thorpe, In c. P a c if ic Employers In su ran ce Co. - P o lic y C-89117, lO -l-iifcA v 11 . Policy 0-101630, lO -l-ltf/ta P olicy C-102032, lO -l-R & iq * P o licy 0-105913, IO -I-U 9/50 * Policy 0-107557, IO -I-50/51 P o lic y C-107UO9 10-1-51/52 R oyal Indem nity Co. - P o licy RCS-91*ltf*Q0, 10-1-52/53 P a c if ic Employers In su ran ce Co. - P o lic y 1 C - I O- I - 53/ 5), u Policy 1C-1622^, 10-1-Slj/ P o licy 10-3381*1 1-1 -5 5 /5 6 American M o to rists Insurance Co. - P o licy 6CH-l*3l-898,1-1-56/57 " P o lic y 7CM-U3 1- 69S , l - i - 57/p g Meindt Cork Corp, - No re c o rd . M etal Clad I n s u la tio n Company - Ho re c o rd . Oil F ield C onstruction of B akersfield U nited P a c if ic Insurance*C o, - P o lic y FWC-13353, 1-1 -5 1 /5 2 E. J , K a r te lls Company A sso c ia te d Indem nity Co, - P o lic y 0-1*7-3752, 10 -1 -5 0 /5 1 P o licy 1*76597, 10-1-51/52 A rm strong Cork CompAny Employers M utual L i a b i l i t y In s ,C o .o f W ise .-P o lic y 2212-39 1-1-51/52 S tandard A ccident In su ran ce Co. - F o lio y AZ-7l8l*80, I - I - 51/52 T ra v e le rs Inusu ra n c e Co. - Policy P o lic y 201*721*3, 2673301+, 1-1-52/53 1-1-53/5U n Policy 3336210, l-l-5l*/55 Frank E. S c o tt & J a s .G .R o b e rts,R o b e rts Roof A F lo o r Co. - Ho re c o rd . I s o th e in Company {Rowell Sm ith, B. H, Greene & E. E. Pow ell) Our re c o rd s in d ic a te t h i s em p lo y ers' nemo as Iso th erm Company I n d u s t r i a l Indem nity Co. - P o lic y 6515-011*01+, 7 -1 -5 1 /5 2 u P o lic y 6525-01112, 7- 1- 52/53 Jamar & Olraeh Company - No re c o rd . P h ilip Carey Hfg. Company G en eral A ccident F ir e & L ife A ssurance Corp. - p o lio y u-6261v?6, C la rk 3 , Reece, Reece I n s u la tio n Company 1-1-52/53 Argonaut Insurance Exchange - Policy 50638, 3-31-52/53 F a c if ic Employers In su ran ce C o .-P o lic y WC-28353, 3-31-5+/55 * P o lic y WC-3001*5, 3-31-5+/55 Mb. W. S te ig e rw a ld , A sbestos P ro d u cts Company S ta te Com pensation In su ran ce Fund - P o lic y 98790-51, 5- 27- 51/52 M Polioy 98790-52, 5-27-52/53 Percy 0 . F o c c r, A lan O. C o ld w ell, Paul U nited R e fra c to ry C o n s tru c tio n Company L ib erty Mutual Insurance Co. 0 I. Neff, Policy WC-8-100069-52, P olicy WC-8-100069-53, 6-1-52/53 6-1-53/51+ 2 E x h ib it "Cw Ovens-Corning F ib e rg la s Corp. Aetna C asualty k Surety Coast In su la tin g Producta Corp. G uarantee In su ran ce Co. - P o lic y UC- 206829, 10-1-53/5U * P olicy C-51U979, 5-L -5V 55 Argonaut In suu*ra n c e Exchange . - P o lic y P o lic y 86736* 95792, 5-1-55/56 5-1-56/57 Jobns-M anville S a lta Corp. T ra v e le rs In su ran ce Co u P o licy 395561*7, 7 -l-5 k /5 5 P o lic y 1*979820, 7-1 -5 5 /5 6 Totman, Morgan Company Employers L i a b i l i t y A ssurance Co, - P o lic y Policy M ountain S ta te C o n s tru c tio n Company - Ho re c o r d . WC-3119719, *0-311*8253, I - I - S 6A 7 1 -1 -5 7 /fi Loa Angel6s Cork Company N a tio n a l Auto & C a su a lty Co; - P o lic y C-5!*7121, 10 -2 7 -5 ^/5 5 * / P olicy C-572253, 10-27-55/56 We t r u s t t h i s in fo rm a tio n aa l i s t e d w i l l be o r some a s s is ta n c e to you. Very tru ly yours, R. T. Read, S u p e rin te n d e n t U nderw riting Department RAO; erar By /&/ R. A. 0.1c E x h ib it "C" V. I r v i ;. i i'4 .-- *-7., 'v C -i i i><< < Cri-' r.L y 7 YA CV C'AJ l! ?r. r:x 0Tv.'u X XIL7V Air. l i c a n t V3 OHM** AUVXUS ?::C.i.:JCT5f K7 AL * 'l * .-Vs V f 'i l?7 T ) ) ) wE Or *ii ) ) a : riACw cf ) ) >'t"iT!:r=t i m .etxo ) ) SgrPLET r."V* L; ) c u th e i.;r:,r: of ) am o m -m i ) LI .lM LIT S' J : fs im : ) ARE IPii.U ': i i on '.;i > i 'AlLU'.-.E TC r ; . 'i a;td )D;-A7ii HSLM'i'iS. / ' fiOTiGS to a il P-.r.TItO ITou c r o - b e r e ty n r t i f l e i t h a t f u r t h e r h e a rin g w i l l be h eld in the above-c:.ii tie d actio n a t 1*107 1(03. A*.'3iiu3 STATS C?7IC3 BUIIDST, 10? SOUTH. KtOADVAY ; LOS ATaJLITS CALli'CHKIA TOTE 1$ , 1051 it TOTE 1 6 , 1961 , 9iOO A.K. .. XVO DAYS; P e ts d at*: Lee A ngeles A p ril 23 , 1961 . INDUSTRIAL ACCIDENT COV-KISSIOS h ots: c c ;;? i:rn ;ic 3 and further hcarihos he kot favored. SERVICE UPONI STS' ATTACHED ST~ET POH PARTIES SERVED? hp 041 J l- y - vr,liY, `y?-? jiv o ,.v s . art. 2, a ia h li:;, c . u ? . IY.YO i: FO irrst.Vi::, 6331 ,.Y CCD DE' ; ., LOS ARSIR ::: ? .* , caa: . r*. r.ns ire-'.-. RO, ce., 727 L*. 7TH ET., TOT .VViTI 3, C.'.LIP, `.v s lO-KA-Ii-..: EOEVITAL, 5 ''A l-' la A)., IT. v m .\.3 ATEFI KIOV,, 5901 L, '*.;'*(.:.1f ?.-..'A-7; *-''* " rc::, e:.:.. ATT'A: . 1 . ' 'ILLA. , : .3R'.i-A;: E. r: A.F.E DS L, ^j .Jw1 H4) t 4 l>33 vier;;; ;j-: flv, , u .. R.OT-IwS, CV.E j . . REOEFE, : 929 r . r RL LT, IAR "iCLirs, e-. EIE. joras -tarv::-;:, P-.-O J.. ARI3, v;.. ..R. CALIE jo; F.R'VTfAj;, IRC., .OK IR. o , LCko r.: culi". jc:::k -I AVILIE. r ie ., AT'D ic s .A'T.R, HOf. 5 EoE'O BEAC: T'A tAEF. sciti:ITI /.33"Tcd a fa 3esia c e ri, irc i .A1 ET. , ics Ai o. :.: vaie.:E * tai;s i /JT.FIS V ERLV3:, ASI.:'. VOS CC. CV CAElf. (OAT CE RUIKiRr.) pa::. r.UT-CFF O ERRATAS O, C/O L'A.T 2 rrrrlatici; co., 27lpl SO. YATES AVE.. EOA A.JLR'TR LO:'. niELS ETRI" CO. Ui'T K.3:' UIELIC1 T>:r P;~. .RC- CT., 5?3A EERVA-R LO,, LOS A*RiRR.RS, CALIE. - ir .. y.,;S ,, :oi Ri Ki.9 f `. -R.' JLjI L\;lJ ..L, ELSA TELIORAIK HD. eos 3LRL, CiLif ly.c: A3 :r,TOS CO., 2939 EO, i) .,vL i->i* LOA aR02Livi, O'.LIF. e il t e t o . LyiJCi a s s c s co. 2737 s o . sis; cl t a . , s .A r . i r s , c .; .. PL*,::? irs:fL'.?Ac:: c o , 2? iii s o . yates ava . , eos a?'?: r. .o , c . a i r . TOhiiv S.TSCLACU CO. 27}1 O Y.-,;."S AVs . LOS AJM. U ... CALI?. crees c o .io f ie e l g l is s , p a c if ic coasv r:1/ . , sarta cla.sa , c a l e , coaet- i t -alatic.; i-.cD ucxs, ? 3 :6 la r;.;c:..:.DU l'-lv:.'., i.-;s ." z .r.vno: woe c o . 1206 l a d l e u>. ...{;^ u :s -cal: : '. : a:3 503? I-ATARA S P ., SOUTH OATi-., C-.I-I1. TOnRATiiCHOAK, U.TCAGO, ILL, r. r. ? ..**., V23CI A S"^7C 3 CO. 675 T j KSEAD ST, R.AU FKAICISCO, CALIF. castutl-i , ao sac& eats, c a l if, PLAST KU BEH & I.SP-STOS 'AOI'.S 937 AIEE U S T ., SAI! FIEUCISCO 7 CALIFCTi-i A EARL 0 . STI CE CO. 5J2 '-'IST DCiUIIST., CL''.'DALL, C.'.EIF, USI.D CORK CO,, KTASSEY, l'M CL3SSY UitITiTD CORK CO. 270\\. SO. SARTA ? , LOS ARAEUTS 5 0 , CALIF, ceRK iksita.tic:; co., 155 i:Vni s?. fer ycrk 17 e t ; venu KEIJIV? CCOK CO. V ic i TOSLLLE AVE., HCiTi '.L.nOIrl, K: ` ' KTiSEY FETAL CIAD IKSVr.'.TrOlf CO. 1?59 UgSTTSJI AVE. TOSC/ACC C.'.LIP. OIL FIELD COSTRUCnOK CO. Or PAFEFSFILID 2650 CELR.KY AVE, LORO DUC." 6, CEIF, E. J . HARTELES CO 1 2 - 26TH AVE. SO ., S' ATTIE h , HAR-INGTCII ISCTAIJEM CO. 605 V ILEIAF3 ST. S.'.KEHSriELO, CALI?, TVin U OIKEH CO. 320 !-iCETE KA'TTEI'iC, ARICADO 21i, I ELIRAIS AS PISTOS --.GO, CO, "OK 9C' ISAF MEO O 12', C.iLir*. EiilTED EEFEACTCRY CCA3TR. CO. 1201 l U l . T V A K D . PITTS DVROH,' > PEAS/L/AEIA l'HEI? CAREY KFO, CO, ICCFL'.iD, CI.-CIA:" TI, CHIO RELE ISS'.LATIK CO., 6025 DICTilC? REVE., ECS AZORE"TM, CALIF. LOS AlOOiS CCS?. CO [(ICO 2 . LV.SZIIOTC-;; e v d . , lcs AVIALES CALI?. FOCKTAIH STATE CCFST.RCCTIOK CO SOX 75:', DTli'.'i'R, CC-ECA .DO F iS tioA E D pAp;n :n a > col. , 475 srajlsr s ,, sa:; r r u c i c c o 1 7 . `A L IE . PACE 1 d'f In d u s tria l A ccident Commission - 10-17-58 Employer P eriod Ended P la n t Rubber & A9bestos 3/31/1*3 6/30/1*3 P lan t Rubber & A sbestes 3/3lA t* 6/30A* P lant Rubbert & A sbestes 3/31/1*5 6/30/1*5 P lan t Rubbert & Asbestos 3/31/1*6 6/30/1*6 E a rl 0. S tic e Co. 2102 Colorado Slvd, Los A ngeles 1*1, C a l i f . 6/30A 6 9/30/1*6 C, R. D u tto n , C, A. L e ig h to n 9/30/1*6 W estern F ib e rg la s s Supply, L td. 12/3 l/l*6 739 B ryant S t, San F ran cisco 7, C a lif. Marine E n g in eerin g & Supply Co. 12/31/1*6 9li* E a s t Second S t , Los Angeles 12, C a lif, Marino E ngineering & Supply Co, R oderick Lynch Lynch A sb esto s Co. 2152 Sacram ento S t, Los A ngeles 21, C a lif, 3/ 31A 7 6/30A ? 6/30/1*7 9/30/1*7 12/31/1*7 W arren & B a ile y Co. 350 So. Anderson S t. Los A ngeles, C a lif. 6/30/1*7 R oderick Lynch 3 /3 1A 8 6/ 30A 8 9/30/1*3 U nited Cork Co, C e n tra l Ave, Kearny, N. J, 6/30/1*8 P la n t I n s u la tio n Co, 271*1 S. Y ates Ave. Los A ngeles 22, C a lif . 12/ 31/48 Cork In su la tio n C o ,,Inc. 155 E. I*f*tb S t. New York C ity 17, N.Y. 12/31A 8 Marine E ngineering & Supply 12/31A 8 Co, Marino E ngineering & Supply 3/3 1 A 9 Co. 6/30/1*9 9/30/1*9 2 " E x h ib it l,B1' Amount 9 1,1*58.07 1,51*1.13 1 ,7 0 k . 1*9 1,295.51 2,01*9.00 951.00 91*6.25 619.19 1*35.67 935.17 168.50 571*. 50 1*06.50 1,01*9.50 36.00 599.00 1,025.75 1,039.69 192. 00 1,120.63 1, 051*. 00 825.37 108.00 1,023.58 106.00 57.00 1 , 259.3 9 1,331*. 00 1*06.61 043 I n d u s tr ia l A ccident Commission - 10-17-58 Employer Period Ended J. T, Thorpe, Inc, 91*3 B. 2nd S t. Los A ngeles 12, C a lif. 3/31/49 Marine E ngineering & Supply Co. 3/31/50 9/30/50 12/31/50 Meindt Cork Corp. 7101 T onncllc Avo. Ho. B ergen, N, J. 3 /3 1 /5 '6 /3 0 /5 0 M etal C lad I n s u la tio n Co. 1759 YJestern Ave. Torrance, C a lif. 6/30/50 9/30/50 P lan t In su la tio n Co., Inc. 9/30/50 12/31/50 J, T, Iftorpe & Son, In c. 1351 Ocean Avc. Em eryville, C a lif, *2/31/5 Marine E ngineering & Supply Co. Oil F ield C onstruction of B akersfield C has, E. K an ely , Grace 1*1. Prank V essels 2b$0 C herry Avc. L on g B e a c h 6, C a l i f . mi E. J . B a r te lls Co. 12 - 2 6 th A v e ,, So. S e a t t l e 4, Wash. 9/30/51 Armstrong Cork Co, L iberty & C h arlo tte St3, L ancaster, Pa. 12/31/51 P lan t In su la tio n Co,, Inc, 12/31/51 F ran k E, S c o tt S; J a s.G . R oberts, Roberts Root & F lo o r Co.' 92? So. Main S t. Las Vegas, Nevada 3/31/52 Is o th c in Co. (Rowell Sm ith, B .H .C reene fr. E .E ,P ow ell) 2100 Union Avenue B akersfield, C alifornia 3/31/52 6/30/52 ian ar & Olmeh Co. 320 N. Handing Ave. Chicago 24, I llin o is 6/30/52 9/30/52 12/31/52 P h ilip C arey Mfg. Co. Lockland C in c in n a ti, 15, Ohio 9/30/52 P lant In su la tio n C o., Inc, 9/30/52 Amount $ 36.00 f 610,00 163,00 1, 005,00 330.00 293.75 1 ,0 7 9 .5 0 100,00 903.00 1*2,00 217.50 1,260.00 954. 00 767.25 1,691*. 63 476.65 1,282.50 121,00 319.00 1 , 078.00 259.60 1,582.68 1 ,5 4 2 .fll 459.00 141.98 162.40 I n d u s tria l A ccident Commission - 10-17-58 Employer P eriod Ended C lark 3. Recce Reece I n s u la tio n Co. 6025 D i s tr ic t Blvd. Los A ngeles 22, C a lif , 12/31/52 Wm, V. S te ig e rw a ld A sb esto s P ro d u c ts Co. P, 0. Box 993 San Diego, C a lifo rn ia .1 2 /3 1 /5 2 P ercy C. P o c e r, A lan 0. Coldw ell, Paul I. Ueff United R efractory Const.Co, 1201 B a n k v illo Road P ittsb u rg h 16, Fa. 3/31/53 P h i l i p Cp.rey K fg, Co. 3/31/53 C la rk B. Reece Rcecc I n s u l a t i o n Co. . 3/31/53 P lan t In s u la tio n Co., Inc, 3/31/53 6/30/53 9/30/53 A rm strong Cork Co. 12/31/53 C la rk B. Recce Ree-ce I n s u l a t i o n Co. 3/31/54 6 /3 0 /5 4 A rm strong Cork Co. 3/31/54 6/30/54 9/30/54 Owens-Corning F ib e rg la s C o rp ,12/31/54 Toledo, Ohio Coast In su la tin g Products Corp, 2316 San F ernando Road Los A ngeles 65, C a l i f , 12/31/54 Coast In su la tin g Products Corp. 3/31/55 6/30/55 12/31/55 Owens-Corning F ib e rg la s Corp, 6/30/S5 Los Angcio3 Cork Co, 6/30/55 9/30/55 P lan t In su la tio n C o., Inc, 9/30/55 12/31/55 John3-M anville S ales Corp, 22 E. 40th S t. Now York 16, Hew York 9/30/55 - 4 E x h ib it " B'* Amount 406.00 t 545.20 1, 181.75 7.90 343.00 75.40 1,908.80 1,615.80 144.00 1, 029.00 72.00 522.00 1,391.60 1, 686.40 78.60 100.80 1,741.95 63.00 1,157.00 1,313.00 39. 00 208. 00 2 ,1 9 3 .0 0 910.00 130.00 V .fc 1 .'ln a u stri l Acoident Commission - 10-17-5$ Sranlovar P eriod Ended Amount ^Stotraan Morgan Co. 2 2 2 S. M ichigan Ave. Chicago 3, 111, 3/31/56 6/30/56 9/30/56 * 1,371.50 1,661;. 00 * 1,161;. 50 .Unast In s u la tin g Products &orp. 3/31/56 231;. 00 3m T. W)orpe, In c, 9/30/56 12/31/56 375.20 1,527.60 J , T. T horpe, In c , 3/31/57 6/30/57 1,310.00 1,065.30 Totman Morgan Co. 3/31/57 132.00 M ountain S ta te C o n stru ctio n Co. P. 0. Box 7566 Denver, Colo. 6/30/57 / l*6o. 00 Our r e c o r d s do n o t show th e e x a c t d a te o f employment s in c e employera are not req u ired to fu rn ish th is in fo rm atio n on th e ir re p o rts . Sincerely yours, J . L. Pay sa ista n t D irector - 5 E x h ib it "Bw fida Earnings of Employes ClaimN r?` Standard A ccident Insurance Co. DETROIT Compensation Claim Department A^.r-d Arnstrons Cork Company______ injuredJaross Whitcomb RileyAccident____________ 19 !_ Schedule of Weekly EarningsI 1>0 Week K .. 1 2 3 4 i 7 $ 9 10 11 12 13 14 13 16 ! * I IS 1 1<> ! 71 i i 33 L -< 1 . 1 Total j Please give actual earnings o f injured employe for 52 explain basis of earnings. weeks preceding accident. I f not on daily or weekly basis, From Date W est To Date IDA [0 10 -7 1 0 -1 4 1 0-21 1 0 -23 1 1 -4 Tot 1 WASHN rTON 1 1 -1 1 1 1 -1 3 1 1 -2 5 1 2 -2 12 -9 Tot i l C arried Forward A m ount l'aid includine overtim e o r extra work Number H W ttk of days U w o rk e d [1 VtS. 116 25 6 130 00 6 130 00 6 130 00 6 130 00 - 6 5 6 1 551 1A0 0 0 6 130 00 6 n o QO 5 130 00 6 136 25 6 646 25 27 28 29 ' 30 31 32 33 34 3S 36 37 II 38 39 40 41 42 43 44 45 46 48 49 SO 51 52 T o ta l W eek From To D ate j D ate Brought Forward A mount Paid including vertite or extra work Nun o fd worl ! Ki'marks 047 I ccrtifv that the above is a true copy of payroll record of injured's earnings as shown on employer's records. BEFORE THE ICTUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CASE NO. 57 U 133-835 JAKES WHITCOMB RILEY, ) A pplicant, ) . ) JOHNS- MAilVILLS, INC., a ) C orporation, e t a l., { D efen d an ts. ( __________________________) APPLICATION FOR HEARING AND PETITION for rearpotiomile;:;? AND DETERMINATIO: OF ADDIl'IOJIAL AND MULTIPLE LIA3ILITY Al.'D RESP0N3 IB1 LITY UNDER LA3QR CODE SECTIOil 5 5 00.5. COMES NOW your P e t i t i o n e r , THE INDUSTRIAL INDEMNITY COMPANY, and fay t h i s , i t s P e t i t i o n , r e s p e c tf u lly s t a t e s , shows, a lle g e s , and p e titio n s as fo llo w s: STATEMENT OF FACT AND ALLEGATIONS James Whitcomb R ile y , h o rn O ctober 2 3 , 1399, su sta in e d an i n d u s t r i a l in ju r y (o c c u p a tio n a l d is e a s e o f a s b e s to s is w ith com p lic a tio n s ) during the approxim ate period of January 1920 through May, 1957 w hile employed in C a lif o r n ia a t maximum e a rn in g s as an i n s u l a t o r by m u ltip le em ployers under m u ltip le in su ra n c e coverages. That a p p lic a n t became tem p o rarily to t a l l y d isab led on May 20, 1957, which tem porary t o t a l d i s a b i l i t y c o n tin u e s to th e p re se n t tim e w ith no c e ssa tio n d ate a v a ila b le or fo re se e a b le . That a p p lic a n t s u sta in e d and in cu rred s u b s ta n tia l medi c a l treatm en t to cure and re lie v e from the e f f e c ts of h is in d u s tr ia l in ju ry which need continues w ith no c e ssa tio n date a v a ila b le or fo re seeable, That a p p lic a n t may u ltim a te ly s u s ta in some permanent d i s a b i l i t y , th e e x ta n t of which i s p re s e n tly incap ab le of ex act ev alu a tio n . That an ap p licatio n fo r hearing fo r compensation b en efits was f i l e d on o r about August 2, 1957 which was fo llo w ed by su b sta n t i a l l i t i g a t i o n r e s u ltin g in a F in d in g s and Award o f November 27, 1959 a copy o f which i s a tta c h e d h e r e to and made a p a r t o f t h i s r e c o r d as E x h ib it "A", That P e titio n s f o r R e c o n sid e ra tio n w ere f i l e d by. m u ltip le 1 d efendants t u t denied by Order of the Southern P anel of the Indus t r i a l A ccident Commission on February H I960. That on o r about March 3, I960, a p p lic a n t made an e le c tio n a g a in st your P e titio n e r only, as among those h eld jo in tly and sev er a lly , l i a b l e to pay s a id F indings and Award which payments in f a c t have boon made and continue to bo made, That your P e titio n e r has complied w ith and continues to comply w ith s a id Bindings and Award. Also th a t to d a te your P e ti tio n e r has p aid 7U0.00 In temporary t o t a l d i s a b i l i t y and ^1376,17 fo r medical treatm ent, FIRST, THAT APPORTIONMENT OF THE ABOVE MENTIONED LIABILITY AND RESPONSIBILITY BE ALLOWED AS BETWEEN THOSE PARTIES HELD JOINTLY AND SEVERALLY LIABLE UNDER THE ORIGINAL FINDINGS AND AWARD BUT AGAINST WHOM NO ELECTION FOR PAYMENT WAS MADE. B riefly, your P etitio n er respectfully requests th at fu r th e r proceedings be had to determ ine th e e x te n t of l i a b i l i t y and r e s p o n s i b i l i t y under the Compensation Laws of the S ta te of C a lifo rn ia o f the v a rio u s jo in tly and s e v e ra lly l i a b l e defendants who, as y e t, have n o t been compelled to s a t i s f y any p a r t of sa id Findings and Award. As said p a r tie s a re alread y joined in th is m a tte r, and th e ir employment-coverage re la tio n sh ip already ad ju d icated , your P e titio n e r asks th a t these p a rtie s be again Joined only i f necessary and be g iv en n o tic e o f said proceedings so as to determ ine th e ir proportionate lia b ility : SECOND, THAT THE FOLLOWING PARTIES EMPLOYER AND COMPENSA TION CARRIER BE JOINED AS PARTIES DEFENDANT SO THAT THEIR RESPECTIVE PROPORTIONATE LIABILITY AND RESPONSIBILITY CAN BE JUDICIALLY DETERMINED. I t is re sp ectfu lly asserted th at the applicant herein also sustained the in d u stria l in ju ry as alleged h erein while in the employ o f th e fo llo w ing employers f o r the fo llo w in g p erio d s and under the follow ing compensation insurance coverage (ace also a tta c h ed l e t t e r s of C a lifo rn ia In sp ectio n R ating Bureau and S o cial S ecu rity A d m in istratio n , marked as E x h ib its B & C). - 2- 049 2:tlcysh 1. W trron *. b a ile y Co,, 311. 3o, Cini'l'ic ld Los .in- e l 3, C a lif . 2. ri t-.r.t Rubber !. A si'ta to a Company iiV-.1 3o, Vrtes Ave. nr3 A;', t i e s , C a l i f , tbclic ;.;i noryod w/ li-Crpo I n s u l a t i o n Co, 3:,. .e n d ir e s e ) approx E tats per io d op 1925-1927 1929-193U and 1933 3. '..`e s io n A sb e sto s Co, 67- lounser.d S tre e t Sr.r. F ra n c is c o , C a l i f . Fourth q u a rte r 1937, F i r s t q u u rte r 1933 U. M. 3 , C a rp e n te r 907 F r o n t S t r e e t Secraiiento, C a lif. Hay 1933 5. P la n t Rubber end A sbestos viorbs 93? 7 i nr.or. 3 t r e e t Sen Francisco 7 ,Cel. oba F ib re Board Paper P ro d u cts C o rp ;, and P a rriffin o Co., Inc, (sar.ie a d d re s s ) 1933-191+3, ir r e g u la r 6. B a r i 0. 3 t i c o Company 852 Meat Doran S tre e t i'.lcr.dale, C a lifo rn ia 191+6 7, C. a. D u tto n , C.A, L o i.h to n , Vieston F io re Glass Supply, Ltd, 73'V B ry an t S t r e e t 3an F rancisco 7, C a lif * 191+6 3. :.tr in e B n-in ecrin f. & Supply Company I r r e g u l a r 191+6-1951 '.'lit B, Second s t r e e t Lc-s A n .;cl;a 12, C a lif . {'..licved !-ier.;.ed w ith Cv/cn s -F ib r e c l a s s C o., 933 itla.-iraph Avenue Los A ngeles, C a lif o r n ia ) 9. R o d e ric k Lynch, d'ea 191+7-191+3 Lynch A sb esto s Company 21-2 Sacrarv.nto S tre e t Los A nreies 21, C a lifo rn ia 10, W arren A B a ile y Co.-;par.S 3!"B So. A nderson 3 t r : v t L03 Ant/.elca, C a l i f o r n i a 191+7 11, U nited C or'.; Company Kearney, ;,tv/ Je rse y Second q u a r te r 191+3 c ocparsa fio :; carrier Unknown Unknown S ta te Compensation Insurance Fund. P o licy iios, 9322^36, 93221+37, 93221+33 S ta te Compensation In su ran ce Fund perm issibly s e lfinsured; Pacific In d em n ity Company Unknown In d u s tr ia l Indemnity Exchar.;\e P o licy Kos, 1+1+9333; 1+1+60711+ P a c if ic Employers In su ra n c e Company I n d u s tr ia l Indemnity Company P o lic y iios, 61+73-011 j?, 61+03-0111+5 S ta te Compensation In su ra n c e Fur.d L ib e rty Hutuc.1 In su ra n c e Company 3 EMPLOYER APPROXIMATE PERIOD OF EMPLOYMENT 12. P la n t I n s u la tio n Co. 2?J(1 So. Y ates Avc. Loo A ngeles 22, C a lif , (now known as Thorpo I n s u la tio n Company, same a d d re ss) 191(3-1955 Interm ittently 13, Cork I n s u la tio n Co. ,In o . F o u rth q u a rte r 191(3 155 S o s t (i^th S tr e e t i.'fcw York 17, Hew York ll|.. J . T. Thorpe, Inc. 91(3 3 , Second S t. Los A ngeles 12, C a lif . F ir s t q u arter 19k9; 1956-1957 15. N eindt Cork Company 7101 T o n elle Ave. ' Worth 3 e rg e n , N. J . F ir s t and second q u arters 1950; F o u rth q u a rte r 1952 16. M etal Clad In su la tio n Company 1759 W estern Ave. Torrence, C alif. 'Second & th ird q u a rte r 1950 17. J . T. Thorpe & S o n s.In o , F o u rth q u a r te r 1950 1351 Ocean Avenue Emoryville, C alif, lfl. Oil F ield C onstruction Co. of S a k e ra fie ld 2650 C herry Ave. Long 3each 6, C a lif . Second & th ird q u a r te r 1951 19. S. J . B o r te lls Company 12 2 6 th Avenue S. S e a t t l e k> W ashington Third q u a rte r 1951 20. Armstrong Cork Company F o u rth q u a rte r 1951 L ib e rty & C h a rlo tte S ts . '* " Lancaster, Fenna. 195k 1953 21. I s o th e in Company 2100 Onion Avenue B akersfield, C alif, F i r s t & Second q u a rte r, 1952 22. Jam ar & Olnoh Co. 320 North Handling Chicago 2k, I llin o is 23. A sbestos P roducts Co. P. 0. Box 983 San Diego, C a lifo rn ia 2U. U nited R efecto ry C o n s tru c tio n Co, 1201 B an k v illo Road P ittsb u rg h , Penna. 25. P h ilip Carey life, Co. Dockland C in c in n a ti, Ohio Second, t h i r d A, fourth q u arter i952 F o u rth q u a r te r 1952 F i r s t q u a r te r 1953 ih -rd q u a r te r 1952 F i r s t q u a rte r 1953 COMPENSATION CARRIER P a c if ic Employers In su ran ce Company F irem an 's Fund In su ra n c e Company Unknown P a c ific Employers Insu ran ce Company American M otorist In su ran ce Company Unknown The A etna C asualty & S u re ty Company Unknown The U nited P a c ific In su ran ce Company P o lic y No, TCW 13353 A ssociated Indemnity Company P o lic y Nos, 0-1*7-3752 & 1(7-8597 Standard Accident In su ran ce Company The T ravels In s u r ance Company In d u s tria l Indemnity Company P o licy Nos. 6515-011(0U and 6525-01112 Die Employers Mutual L ia b ility Insurance Company S ta te Compensation Insurance Fund L ib erty Mutual In su ran ce Company General Accident, F ire & Life Insurance Corp, - U- 051 EMPLOYER APPROXIMATE PERIOD OP EMPLOYMENT compensation CARRIER 26, Rccso I n s u la tio n Co. F ourth q u a rte r 1952 6025 D ia tr io t Blvd, F i r s t q u a rte r 1953 Los Angeles 22, C a lif . Argonaut Insurance P o lic y Ho. 5063B 27. Owens-Coming-Fibre Glass Corporation Toledo, Ohio 23. Coast In su latio n Products Cerp, 2316 San FernandoRd. Los A ngeles, C a lif, F ourth q u a rte r 195b F ourth q u a rte r 195b* F i r s t , second and Fourth q u a rte r 1955 F i r s t q u a rte r 1956 29. Los Angeles Cork Co. Second q u a rte r 1955, m so E.W ashington Blvd. Third q u a rte r 1955 Los A ngeles, C a lif, 30. Johns-"Mansilie Sales C o rp o ratio n 22 E a st bDth S tr e e t Hew York 16, N. Y. Third q u a rte r 1955 The Aetna C asualty & S u rety Company Guarantee Insurance Company P olicy UC-206829 & C-5ll*978; Argonaut Insurance Exchange Policy Nos. .86736 and 95792 N ational Automobile & C asualty Co. P o lic y Nos. C5b7l2l and C572253 The T ravelers In s u r ance Company P o licy Hos.39556b7 A b979320 31. Totman, Morgan Company F i r s t , second and 122 So, Michigan Ave. Third q u a rte rs 1956 Chicago 3, I llin o is 32, Mountain S ta te C o n stru ctio n Co. P. 0. Box 7596 Denver, Colorado Seoond q u a rte r 1957 The Employers L ia b i l i t y Assurance Corp, L td, P olicy Nos. WC 3119719 & WC3lb8253 Unknown I t 1b th erefo re re sp e o tfu lly requested th a t a l l of the above named employers and c a r r ie r s be jo in ed , i f n o t alread y joined in th is aotion, as p arties to said action. F u rth er, the requested jo in d er is lis te d below; 1. Warren & B ailey Company, 3528 S o .G a rfie ld , Los A ngeles, C a lif. 2. P la n t Rubber and A sbestos Company, 27bl So,Y ates A ve., Los Angeles 3. Thorpe In s u la tio n C o., 271*1 So,Y ates A ve., Los A ngeles, C a lif, b. Weston A sbestos Co., 675 Townsend S t . , Son F ra n c isc o , C a lifo rn ia 5, H. R. C arp en ter, 907 F ront S tr e e t, Sacramento, C a lifo rn ia 6, S ta te Compensation Insurance Fund, 600 S o .L afay ette Park P I ., L.A, 7, P la n t Rubber and A sbestos Works, 937 Binnen S t . , San F ran cisco 7 3. F ib re Board Paper Products C orp., 937 Binnen S t . , San F ran cisco 7 9, P a r r if in e C o,, I. c ., 937 Binnon S t , , San F ran cisco 7 C a lifo rn ia 10. E a rl 0, S tic e C o,, 052 tfcs'j Doran S tr e e t, G lendale, C a lifo rn ia 11. C. R. D utton, C. A. L eighton, Weston F ib re G lass Supply, L td ., 739 Bryant S tr e e t, San F ran cisco 7, C a lifo rn ia - 5- 052 12. I n d u s t r i a l Indem nity Exchange, 350 Sansomo S t . , San F ra n c isc o 13. Marine E n g in e e rin g Supply C o ., 911t 2 . Second S t . , Los Angeles 12 lj, Owens-Fibro G lass C o., 5933 Telegraph Ave., Los A ngeles, C a lif. 15. P a c if ic Employers Insu ran ce Company, 1033 So. Hope S t , , Los Angeles 15 16. R oderick Lynch, dba lynch A sbestos C o., 2152 Sacram ento S t . , L.A. 17. Warren & B ailey C o., 350 So.Anderson S t . , Los A ngeles, C a lifo rn ia 1?. U nited Cork Company, Keerncy, New Je rse y 19. P la n t I n s u la tio n C o., 27I4I So. a t e s A ve., Los A ngeles 22, C a lif , 20. Thorpe I n s u la tio n C o., 27U1 So. Y ates A ve., Los A ngeles 22, C a lif , 21. F ire m a n 's Fund In su ran ce Company, 3UU0 W ilsh lre B lv d ., Los Angeles 22. Cork I n s u la tio n C o .,I n c ., 155 E a s t I4.l4.th S t r e e t , New York 17, N.Y. 23. J . T. Thorpe, I n c . , 9143 E. Second S t . , Los A ngeles 12, C a lif . 2I4. American M o to ris t In su ran ce C o ., 35H5 W ils b ire B lv d ., Los Angeles 5 25. Nolndt Cork C o., 7101 Tonnelle A ve., North Bergen, New Je rse y 26. H otel Clad In s u la tio n C o,, 1759 W estern Ave,, Torrance, C a lif. 27. The Aetna C asu alty it S u rety C o,, 810 So, S p rin g S t , , Los Angeles II4 23, J. T. lh o rp e & Sons, I n c ., 1351 Ocean A ve., E m ery v ille, C a lifo rn ia 29. O il F ie ld C o n stru c tio n Co. o f B a k e rs fie ld , 2650 C herry Ave, Long Beach 6, C a lif o r n ia 30. The U nited P a c if ic Insurance Company, 616 3 . S h a tto P I . , L. A. 31. 2 . J . B arte 11a C o ., 12 - 26th A v e .,S ., S e a t t l e I4, W ashington 32. A sso ciated Indem nity Company, P.O.Box 2133, Los A ngeles 5k, C a lif , 33. Armstrong Cork Company, L ib e rty i C h a rlo tte S t s . , L a n c a ste r, Penn, 3I4. Standard A ccid en t In su ran ce Company, 5i40 So. K ingsley D r., L.A, 35. The T ra v e le rs In surance Company, 510 West S ix th S t . , Los Angeles 36. I s o th e in Company, 2100 Union Avenue, B a k e rs fie ld , C a lif o r n ia 37. Jamar & Olnch Company, 320 North H andling, C hicago 2I4, I l l i n o i s 33. The Employers M utual L ia b ility A ssurance C o .,L td ., 639 S.New Hampshire Los A ngeles, C a lifo rn ia 39. A sbestos Products C o., P.O.Box 933, San Diego, C a lifo rn ia 140, Unltod R e fe c to ry C onst. C o,, 1201 B an k v illo Road, P itts b u r g h , Pa. 141. P h ilip Corey Kfg. C o ., to e k la n d , C in c in n a ti, Ohio U2. G eneral A c c id e n t, F ir e & L ife In su ran ce C o rp ., 3535 W. 6th S t . , I*A* U3. Reuse I n s u la tio n C o., 6025 D i s t r i c t B lv d ., Los A ngeles 22, C a lif . I4I4. Argonaut In su ran ce Company, 1001 W ilsh lre B lv d ., Los A ngeles 17 kS. O w ens-Com ing-Fibre G lass C o rp ,, Toledo, Ohio * 053 1*6. Coast I n s u la tio n Products C o rp ,, 2316 San Fernando R d., L. A. 65 1*7. G uarantee Insuranoe Compare, 1671 W llshlre B lv d ,, L. A ., C a lif , 1*3. Loo Angeles Cork Company, 1*160 B. Washington B lv d ., Los Angeles 1*9. N atio n al Automobile & C asualty Company, 639 So. S p rin g S t . , L.A. 5 0 . John s-N an v ille S a le s C orp.,' 22 E a st 1*0th S t . , New York 16, H.Y. 51. L ib e rty Mutual Insurance Co., 711* So. R ill S t . , Los Angeles 52. Totnan, Morgan Company, 122 So, Michigan A vc., Chicago 3, I l l i n o i s 53. I n d u s tr ia l Indemnity Co., P, 0. Bo* 2252, Los Angeles 51*. Mountain S ta te C o n stru ctio n Co, t 7. 0, Box 7536, Denver, Colorado I t is th erefo re re sp e c tfu lly requested th a t the above mentioned p a r tie s be Joined as p a r tie s defendant and tbe m atter s e t fo r fu rth e r hearing a t the f i r s t dato av ailab le to tbe In d u stria l Accident f Commission. Please be edvlsed th a t copies o f th is P e titio n and the attached documents th e re to have co n cu rren tly been served upon a l l p a rtie s already joined or requested to be Joined concurrent w ith the filin g of this Petition, Dated th is 18th day of November, I960. R espectfully submitted HERLIHY & HERLIHY I, th e undersigned, say: I era tb e a tto rn e y fo r P e titio n e r in t i e above e n title d a c tio n ; I havo read the fore fo in g A p p lic a tio n f o r H earing and P e titio n and know the co n ten ts th e re o f; and th a t th e same i s tru e o f my own knowledge, except as to m atters which are s ta te d upon my in fo rm atio n and b e lie f , as as to those m atters th a t I b eliev e i t to be tru e , I c e r t i f y and d e c la re under p en a lty of p e rju ry th a t the foregoing is tru e and c o rre c t. Executed on November 18, I960 a t Los A ngeles, C a lifo rn ia . Georgis `T." Xhompa on - 7- BEFORE THE INDUSTRIAL ACCIDENT COMMISSION O? THE STATE OF CALIFORNIA CASE NO, ?7-L.A. 182-835 JAKES WHITCOMB RILEY, A pplicant, V , JOHNS-MANILLE, INCORPORATED, a c o rp o ra tio n ; SOUTHERN ASBESTOS & MAGNESIA CORPORATION, a c o rp o ra tio n ; ASBESTOS COMPANY OF CALIFORNIA; PLANT RUBBER & ASBESTOS COMPANY; LGS ANGELES RUBBER COMPANY; KARINE ENGSTEERING COMPANY, a c o rp o ra tio n ; FIBERGLASS ENGINEERING & SUPPLY COMPANY, a c o rp o ra tio n ; ROBERT 0. LYNCH, an in d iv id u a l, doing bu sin ess as Lynch A sbestos Company and LYNCH ASBESTOS COMPANY, a c o rp o ra tio n ; PLANT INSULATION COMPANY, a co rp o ra tio n ; COAST INSULATION PRODUCTS, a c o rp o ra tio n ; ARMSTRONG CORK COMPANY, a c o rp o ra tio n ; J , T, THORPE,' INC,, a c o rp o ra tio n ; WARREN AND BAILEY; POTMAN-MORGAN COMPANY; CVEN3-CORBING FIBERGLASS COMPANY, PACIFIC COAST DIVISION; FIANT INSULATION AND THORPE company; EMPL0YER3 LIABILITY ASSURANCE COR PORATION, LTD, of LONDON, ENGLAND, a c o rp o ra tio n ; THE TRAVELERS INSUR ANCE COMPANY, a c o rp o ra tio n ; ASSO CIATED INDEMNITY COMFAHY, a co ro o ratio n ; FIREMAN'S FUND INDEMNITY COM PANY, a c o rp o ra tio n ; AETNA CASUALTY ft SURETY COUTANY, a c o rp o ratio n ; EDU3 TRIAL INDEMNITY COMPANY, a c o rp o ra tio n ; EMPLOYERS MUTUAL LIA BILITY INSURANCE COMPANY OF WISCONSIN, a c o rp o ra tio n ; GUARANTEE INSURANCE COMPANY, a c o rp o ra tio n ; ARGONAUT INSURANCE COMPANY, a c o rp o ra tio n ; AMERICAN MOTOR13TS INSURANCE COMPANY, a c o rp o ra tio n ; ZURICH INSURANCE CCFANY, a c o rp o ra tio n ; PACIFIC EMPLOYER- INSURANCE COMPANY, a corporation, Dfendante. FINDINGS AND AWARD, ORDER DENYING LIEN CIA IMS AND ORDER DISMISSING PARTY DEFENDANT Bays and McLaughlin, by John F. McLaughlin, ap p lican t's attorneys H erllhy e H erlib y , by Kennis T. Jo n es, atto rn e y s fo r Argonaut Insurance Co., Phoenix Indemnity C o., F irem an's Fund Indem nity C o,, I n d u s tr ia l Indemnity C o,, and Employers L ia b ility A ssur ance C orp,, Ltd, of London, England C lopton and Penny, by R, W riesner, a tto rn e y s f o r P a c ific Employers Insurance Co, EXHIBIT " A" T ipton WeInland, by C. WeInland, atto rn e y s fo r A ssociated Indemnity Corp. Spray, Could and Bowers, by H. W. B ra lle y , J r . atto rn ey s fo r Employers Mutual L ia b ility Insurance Co. of Wisconsin and Guarantee Insurance Co. F, S. Cerlgnan, re p re se n ta tiv e fo r American M o to rists Insurance Co. Joseph B ilchak, re p re s e n ta tiv e f o r The T ravelers Insurance Co. * * * An A p p lic a tio n having been f i l e d h e re in and a l l p a rtie s having appeared and the m atter having been re g u la rly submitted fo r d e c is io n , GEORGE A, HARTINELLI, R eferee, makes b i s Findings and Award, Order Denying Lien Claim and Order D ism issing P arty Defendant as follows: FINDINGS OF FACT 1, James Whitcomb R ile y , born October 3 1399 w hile employed as an in s u la to r by v ario u s employers in th e S ta te of C a lifo rn ia , commencing in the month of January, 1920 continuing through Hay 19, 1957, su stain ed in ju ry a r is in g out o f and occurring in the course o f h is employment as fo llow s: In the performance of h is occu p atio n al d u tie s , th e a p p lic a n t was exposed d u rin g eaob and every day of h is employment to d e le te rio u s d u sts, th e accum ulative e ffe c ts of which re s u lte d in a pneumoconiosis and tu b e rc u lo sis which rendered th e a p p lic a n t t o t a l l y d laabled on May 19, 19S7. 2, The names of the employers and Insurance c a r r ie r s fo r said employers during the p erio d s o f said employment end ex posure are as follow s: (a) Employers; Johns-K anville, Incorporated; Warren and B ailey ; Southern Asbestos & Magnesia C o rp o ratio n ; P lan t Rubber and A sbestos Company; Los Angeles Rubber Company; P lant In su la tio n Company; Marine Engineering Company; Robert 0, Lynch, an in d i v id u al, doing b u sin ess as Lynch Asbestos Company and Lynch A sbestss 57-U 112-335 - 2- EXHIBIT "A* 056 tfaflti lugani Company; P lant In su la tio n and Thorpe C o.; Armstrong Cork Company; Const In s u la tio n Products; Totman-Morgan Company; and J . T. Thorpe, Ino. (h) The insurance c a r r ie r fo r Marine Engineering Company, o co rp o ratio n , and P lant In su la tio n Company, a co rp o ratio n , during a p ort of the period of a p p lic a n t's employment, was P a c ific Employers Insurance Company, a corporation. The insurance c a r r ie r fo r ftobert 0. Lynch, an in d i v idual, doing business as Lynch Asbestos Company and Lynch Asbestos Company, a co rp o ratio n during a p a rt of th e period o f a p p lic a n t's employment, was I n d u s tria l Indemnity Company, a co rp o ratio n . Th insurance c a r r i e r fo r Coast In su la tio n Products, a corp o ratio n , during a p a rt of th e period of a p p lic a n t's employ ment was Guarantee Insurance Company, a corp o ratio n . The insurance c a r r ie r fo r J . I . Thorpe, In c .,, a ......... corporation, during the e n tire period of a p p lic a n t's employment, was American M otorists Insurance Company, a co rp o ratio n . The insurance c a r r ie r fo r P lant In su la tio n Company, a corp o ratio n , during a part of the period of a p p lic a n t's employ ment, was Firem an's Fund Indemnity Company, a corp o ratio n . During said tim es, a l l th e employers and the employee were sub ject t o the provisions of the Labor Code of the S ta te of C alifornia. 3, Said injury caused temporary to ta l d is a b ility , e n t i t ing the ap p lican t to $I;0.00 p e r week beginning May 20, 1957 through Kovcmber 16, 1959 and th e r e a f te r during the continuance of d is a b ility or u n til the fu r th e r Order of t h i s Commission, based upon maximum earnings. U. Defendants are e n title d to c re d it f o r a l l sums h ereto fore paid as d is a b ility Indemnity, 5. Applicant is e n title d to be reimbursed fo r the reasonable value of medical treatm ent pre sured by him to cure or re lie v e from the e ffe c ts of said in ju ry , to be ad ju sted by the 57-LA li2-?35 - 3- E x h ib it "A" 057 p a r tie s among them selves. I f adjustm ent I s n o t p o s s ib le , th is Com mission w ill determ ine the m atter upon the f i l i n g and se rv ic e of item ized b i l l s . Among th e item s of reim bursem ent are th e follow ing: The defendants are d ire c te d to pay to Veterans A d m in istratio n Hos p i t a l the sun o f ^2,685.60; to Dr, C. P ie rre De Lawter, the sum of til05, 00; f o r se rv ic e s rendered as a n e s th e s io lo g is t which was au th o r ized by the d efen d an ts; and to Dr. John K, S h irey , the sum of y33l.OO. 6. In view o f Finding #5, the H e n claim s o f Dr, C. P ie rre De Lawter and Veterans A d m in istratio n H o sp ita l should be denied, 7. Pursuant to Labor Code S ectio n 1|6C0, a p p lic a n t is e n title d to the reasonable, a c tu a l and necessary m edical expense incurred fo r x -ra y s, laboratory fe e s and m edical re p o rts required to s u c c e ssfu lly prove h is claim h e re in , i n th e sum o f ^ 150.00 pay able d ir e c tly to Dr, John K. S b irey , 6, Founders Insu ran ce Company i s e n t i t l e d to a l ie n a g a in st unpaid condensation in the sura o f $ l , 0l;0.00 f o r th e period beginning May 27, 1957 fo r a p eriod o f 26 weeks, a t the weekly r a te o f 1*0,00 under the p ro v isio n s of Labor Code S ectio n U903-F. 9. Founders Insurance Company is n o t e n title d l i e n in the sum o f .$120.00 fo r h o s p ita l b e n e f its p a id the a p p lic a n t under the p ro v isio n s of the Labor Code, 10. Applicant is e n title d to such fu rth e r medical and/or s u r g ic a l treatm en t as may reasonably be re q u ire d to cure or reliev e from the e ffe c ts of said in ju ry . Ib is treatm ent is to be fu rn ish ed by the defendants h e re in , 11. Said Injury w ill re s u lt in permanent d is a b ility . F u rth e r h earin g to e s ta b lis h the e x te n t th e re o f w ill be held by the Commission upon the re q u e st of any p a rty in in t e r e s t upon proof th a t the d laa b i l i t y has become permanent and s ta tio n a ry . 12. The claim h o ru in ' 1s not b arred by the S ta tu te of Lim itations. 57-La 102-835 _- U - EXHIBIT UA" 058 * >1 13. Defendants have n o t been p re ju d ic e d by any alleged f a ilu r e of the ap p licant to re p o rt said injury w ithin the tin e required by the pro v isio n s of the Labor Code, Ul. A p p lic a n t's atto rn ey s are e n title d to a lie n ag ain st unpaid compensation fo r the reasonable value of th e ir s e rv ic e s in the aum of 750. 00, 15. Pursuant to s tip u la tio n of the p a rtie s , Phoenix Indemnity Company, a c o rp o ra tio n , i s e n title d to .b e dism issed and discharged herefrom. AWARD AWARD 1$ MADE in fav o r of James Whitcomb R iley a g a in st Johns-M anville, Incorporated, a co rp o ratio n ; Warren and B ailey; Southern Asbestos & Magnesia C orporation, a c o rp o ratio n ; P lant Rubber and A sbestos Company; Los Angeles Rubber Company; P la n t In s u la tio n Company, a c o rp o ra tio n ; Marine E ngineering Company, a corporation; Robert 0. Lynch, an in d iv id u al, doing business as Lynch A sbestos Company and Lynch A sbestos Company, a c o rp o ra tio n ; P la n t I n s u la tio n and Thorpe Company; Armstrong Cork Company, a c o rp o ra tio n ; C oast In s u la tio n P roducts, a c o rp o ra tio n ; Totman-Horgan Company; P a c ific Employers Insurance Company, a c o rp o ra tio n ; Indus t r i a l Indemnity Company, a co rp o ra tio n ; Guarantee Insurance Company, n c o rp o ra tio n ; American M o to rists Insurance Company, a c o rp o ra tio n ; and fire m a n 's Fund Indemnity Company, a c o rp o ra tio n , j o i n t l y and s e v e r a lly , of the sum of U0.00 p e r week beg in n in g May 20, 1957 through November 16,1959 and th e r e a f te r d u rin g the continuance of d is a b ility or u n til the fu rth e r Order of th is Commission; to gether with i n t e r e s t as provided by law; le a s a l l sums h e re to fo re p aid ; le s s the sum o f ^1,0^0.00 payable to Founders Insurance Company, as o u tlin e d i n Finding #3; and lo s s the sum o f 750.00 payable to Hays and McLaughlin, as a tto r n e y s ' fe e s ; to g e th e r w ith reimbursement f o r the reaso n ab le value of h is golf-p ro cu red m edical tre a tm e n t; among the Items of reimbursement, the defendants s h a ll pay d ire c tly to 57-LA 132-335 " 5 - E xhibit "A" 059 I t * V eterans A d m in istration H o sp ita l, th e sum o f $ 2 ,6 8 5 .6 0 ; to Dr. C. P ie r r e De Lawter, the sum of $105.00; and to Dr, John K. S hirey, the sum of $331.00, as o u tlin ed in F inding #5; to g e th e r w ith reim bursement under Labor Code S ectio n t|600 in the sun of $150.00 payable d i r e c t l y to Dr. John K. S h irey ; to g e th e r with such f u r th e r m edical an d /o r s u rg ic a l treatm en t as may reaso n ab ly bo req u ired to cure or re lie v e from the e ffe c ts of said in ju ry , as outlined in Finding #10, IT 2S ORDERED th a t th e lie n claim of V eterans Admini s t r a t i o n H o sp ita l and the lie n claim of Dr. C. P ie rre Da Lawter be and th ey a re hereby DENIED. ' IT IS FURTHER ORDERED th a t Phoenix Indem nity Company, a c o rp o ra tio n , be and i t is hereby DISMISSED. DEFENDANTS ARE FURTHER ORDERED to re p o rt to re p o rt to t h i s Commission on Form C-6 w ith in ten days a f t e r the c e s s a tio n of compensation payments under the above con tin u in g award. Copies of said form and copies of a l l re p o rts in c id e n ta l th e re to are to be served on a l l adverse p a r tie s b efore f i l i n g with t h is Commission. GAMsNN ______ 0E0R03 A. MARTINELLI Referee INDUSTRIAL ACCIDENT COMMISSION 57-LA 182-835 DATED AT LOS ANGELES, CALIFORNIA HOVSIBER 27, 1959 SEAL rt 6 -- Exhibit "a" 060 . '' BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CASE HO. 57-L.A , 182-835 JAMES WHITCOMB RILEY, A pplicant, va JOIJKS-MANVILLE, INCORPORATED, a c o rp o ra tio n ; SOUTHERN ASBESTOS ft MAGNESIA CORPORATION, a c o rp o ra tio n ; ASBESTOS COMPANY OF CALIFORNIA; PLANT RUBBER ft ASBESTOS COMPANY; LOS ANGELES RUBBER COMPANY; MARINE ENGINEERING COMPANY, a c o rp o ra tio n ; FIBERGLASS ENGINEERING ft.SUPPLY COMPANY, a c o rp o ra tio n ; ROBERT 0 , LYNCH, an I n d iv id u a l, d o in g b u s in e s s a s Lynch A sbestos Company and Lynch A sbestos Company, a c o rp o ra tio n ; PLANT INSULATION COMPANY, a c o rp o ra tio n ; COAST INSULATION PRODUCTS, a c o rp o ra tio n ; ARMSTRONG CORK COMPANY, a c o rp o ra tio n ; J , T . THORPE, BTC., a c o rp o ra tio n ; WARREN AND BAILEY; TOTMAN-KOSGAN COMPANY; OWENS-CORNING FIBERGLASS COMPANY, PACIFIC COAST DIVISION; PLANT INSULATION AND THORPE COMPANY; ) ) FINDINGS AND AWARD, ORDER DENYING LIEN ) CLAIMS AND ORDER DISMISSING PARTY ) DEFENDANT ) ) ) ) ) ) ) ) EMPLOYERS LIABILITY ASSURANCE CORPORATION, ^ LTD., o f LONDON, ENGLAND, a c o rp o ra tio n ; ) THE TRAVELERS INSURANCE COMPANY, a c o rp o ra tio n ; ASSOCIATED INDEMNITY ) COMPANY, a c o rp o ra tio n ; FIREMAN'S FUND INDEMNITY COMPANY, a c o rp o ra tio n ; AETNA ) CASUALTY ft SURETY COMPANY, a c o rp o ra tio n ; INDUSTRIAL INDEMNITY COMPANY, a c o rp o ra - ) t l o n ; EMPLOYERS MUTUAL LIABILITY INSUR ANCE COMPANY OF WISCONSIN, a c o rp o ra tio n ; ) GUARANTEE INSURANCE COMERNY, a c o rp o ra tio n ; ARGONAUT INSURANCE COMPANY, a c o rp o ra tio n ; ) AMERICAN MOTORISTS INSURANCE COMPANY, a c o rp o ra tio n ; ZURICH INSURANCE COMPANY, ) a c o rp o ra tio n ; PACIFIC EMPLOYERS INSURANCE COMPANY, a c o rp o ra tio n , ) D efendants. } Hays and McLaughlin, by John F . McLaughlin, a p p lic a n t'a attorneys H erllh y ft H e rllh y , by K ennis T . Jo n es, a tto rn e y s fo r Argonaut Insurance Co., Phoenix Indemnity C o., Fireman a Fund Indem nity C o., In d u s tr ia l Indem nity C o., and Employers L ia b ility Assur ance Corp,,, L td, o f London, England Clopton and Penny, by R, w rlesner, atto rn ey s fo r P a c ific Employers Insurance Co. 1* 061 M t. T ipton ft VJeingand, by c . Wcingand, atto rn ey s fo r Associated Indemnity corp. Sprsy, Gould and Bcw*i*s, by M. V). E ra lle y , J r , , utw rr-eys f o r Ernpl -yf-.rs Mutual L ia b ility Insurance Co. of v/i ..-crain and Guarantee Tr<r,i'wv.2e Co. ? . S. Carignan, represent? t-'?** f o r American M otorists Insurance Co. J oqsxi BJ.lehak, re p re s e n ta tiv e f o r The T rav elers Instirsnse Co. An A pplication having been f i l e d h erein and a l l p a rtie s having appeared and th e m atter having been re g u la rly subm itted f o r d e c isio n , GEORGS A, MARJTXNELLI, R eferee, makes h is Findings and Award, Order Denying Lien Claim and Order Dism issing P arty Defendant as follows: FISHINGS OF FACT 1 , James Whitcomb R iley , bom October S3, 1899, w hile employed aB an in s u la to r by v arious employers in th e S ta te o f C a lifo rn ia , commencing in th e month of January, 19S0 continuing through May 19, 195?, su stain ed in ju ry a ris in g out o f and occurring in th e course of h i s employment as follow s: In th e performance of h is occupational d u tie s , th e a p p lic a n t was exposed during each and every day of h is employment to d e le te rio u s d u s ts , th e accumulative e f f e c ts of which re s u lte d in a pneumoconiosis and tu b e rc u lo sis which rendered th e ap p lican t t o t a l l y d isab led on May 19, 1957. S , The names o f the employers and Insurance c a r r ie r s fo r said employers during the perio d s of sa id employment and exposure are as follows: (a) Employers: Johns-M anvllle, Incorporated; Warren and B ailey; Southern Asbestos ft Magnesia C orporation; P lant Rubber and A (bestos Company; Los Angeles Rubber Company; P lant In su la tio n company; Marine Engineering Company; Robert 0 , Lynch, an in d i v id u a l, doing business as Lynch Asbestos Company and Lynch Asbestos 57-LA 182-835 .s. 062 Company] P lan t In su la tio n and Thorpe Co.; Armstrong Cork Company; Coast In s u la tio n Products; Totman-Morgan Company; and J . T. Thorpe,Inc (b) Theinsurance c a r r ie r fo r Marine Engineering Company, a co rp o ration and P lan t In su la tio n Company, a corporation during a p a r t of the period o f a p p lic a n t's employment was P a c ific Employera Insurance Company, a co rp o ratio n . The Insurance c a r r i e r f o r Robert 0 , Lynch, an in d iv id u a l, doing business as Lynch Asbestos Company and Lynch Asbes to s Company, a corporation during a p a r t o f th e p e rio d of a p p lic a n t's employment was I n d u s tria l Indemnity Company, a c o rp o ra tio n . The Insurance c a r r i e r f o r Coast In su la tio n Products, a corporation, during a p art of the period of ap p lican t's employment was Guarantee Insurance Company, a c o rp o ra tio n . The insurance c a r r ie r fo r J . T. Thorpe, I n c ., a corporation during the e n tir e p eriod o f a p p lic a n t's employment was American M o torists Insurance Company, a c o rp o ra tio n . The insurance c a r r ie r fo r P la n t In su la tio n Company, a co rp o ratio n , during a p a rt of the p eriod of a p p lic a n t's employment was Firem an's Fund Indemnity company, a c o rp o ratio n . Curing sa id tim es, a l l th e employers and the enployee were su b je c t to the p ro v isio n s o f the Labor Code of th e State of C alifornia. 3. Said injury caused temporary to ta l d is a b i l i t y e n t i t l i n g the a p p lic a n t to $40.00 p e r week beginning May 0, 1957 through November 16, 1959 and th e r e a f te r during th e continuance o f d i s a b i l i t y o r u n t i l th e f u r th e r Order of t h i s Commission, Cased upon maximum earn in g s. 4, Defendants are e n title d to c re d it fo r a ll auras h e re to fo re paid as d i s a b i l i t y indem nity. 5* A pplicant la e n title d to be reimbursed fo r the reasonable value of medical treatm en t procured by him to cure or re lie v e from the e ffe c ts of said in ju ry , to be adjusted by the 57-LA 182-835 -3- 063 p a r t i e s among them selves, i f adjustm ent i s n o t p o s s ib le , t h i s Com m ission w ill determ ine the m a tte r upon th e f i l i n g and se rv ic e of item ized b i l l s . Among th e item s of reimbursement a re th e follow ing: The defendants a re d ire c te d to pay to V eterans A dm inistration Hos p i t a l th e sum o f $2,685,60; To D r. C. P ie rre De Laviter, th e sum of $105<00; f o r s e rv ic e s rendered a s a n e s th e s io lo g is t which was a u th o r ized by the d efendants; and to D r. John K. S h lrey , th e sum of $331.00. ' 6 , In view of Finding 5, th e lie n claims of Dr. C. P ie rre De Lawter and V eterans A dm inistration H o sp ita l should be denied. 7 . P ursuant to Labor Code S ectio n 4600, a p p li cant Is e n title d to the reasonable, actu al and necessary medical expense incurred fo r x-rays, laboratory fees and medical reports req u ired to su c c e ssfu lly prove h is claim h e re in , in th e sum o f $150.00 payable d ir e c t l y to Dr. John K. S h lre y . 8. Founders In surance Company i s e n t i t l e d to a li e n a g a in s t unpaid compensation In th e sum o f $1,040.00 f o r the p erio d beginning May 27, 1957 f o r a p e rio d o f 26 weeks, a t th e weekly r a te o f $40,00 under th e p ro v isio n s o f Labor Code S ectio n 4903-F . 9. Founders Insurance Company i s not e n title d to a l i e n in th e sum o f $120.00 f o r h o s p ita l b e n e f its p a id th e a p p lic a n t under th e p ro v isio n s of th e Labor Code. 10. Applicant 1b e n title d to such fu rth e r m edical a n d /o r s u rg ic a l tre a tm e n t a s may reasonably be rsqilred to cure or re lie v e from the e ffe c ts of sa id in ju ry . This treatm ent Is to be fu rn ish ed by the defendants h e re in . 11. Said in ju ry w ill re s u lt in permanent d is a b ility . F urther hearing to e s ta b lis h the ex ten t th ereo f w ill be h eld by th e Commission upon th e re q u e st of any p a rty in in te r e s t upon p ro o f t h a t th e d i s a b i l i t y has become permanent and s ta tio n a r y . 12 . m e claim h erein is not b arred by the S tatute of Lim itations. 57-LA 182-835 -4-- 064 13 Defendants have not been prejudiced by any alleged failure of the applicant to report said injury within the time required by the provisions of the tabor Code. 14. Applicant's attorneys are entitled to a lien against unpaid compensation for the reasonable value of their services In the sum of$75000. 15. Pursuant to stipulation of the parties, Phoenix Indemnity Company, a corporation, Is entitled to be dismissed and discharged herefrom. A WA R D r AWARD IS HADE In favor of James Whitcomb Riley against Johns-Manville, incorporated, a corporation; Warren and Bailey; Southern Asbestos & Magnesia Corporation, a corporation; Plant Rubber and Asbestos Company; Los Angeles Rubber Company; Plant Insulation Company, a corporation; Marine Engineering Company, a corporation; Robert 0. Lynch, an Individual, doing business as Lynch Asbestos Company and Lynch Asbestos Company, a corporation; Plant Insulation and Thorpe Company; Armstrong Corte Company, a corporation; Coast Insulation Products, a corporation; Totman-Morgan company; Pacific Employers Insurance Company, a corporation; Industrial Indemnity Company, a corporation; Guarantee Insurance Company, a corporation; American Motorists Insurance Company, a corporation; and Fireman's Fund Indemnity Company, a corporation, jointly and severally, of the sum of $40.00 per week beginning Hay 20, 1937 through November 16, 1939 and thereafter during the continuance of disability or until the further Order of this Commission; together with Interest as provided by law; less all sums heretofore paid; less the sum of $1,040.00 pay able to Pounders Insurance Company, aa outlined in Finding # 8; and less the sum of $750.00 payable to Hays and McLaughlin, as attorneys' fees; together with reimbursement for the reasonable value of hlB self-procured medical treatment; among the Items of reimbursement, 57-LA 182-635 - 5- 065 the defendants sh a ll pay. d ire c tly to V eterans A dm inistration H ospital, th e sum o f $2, 685.60; To S r . C. P i e r r e De L aw ter, th e sum cf $105.00; and t o D r. John K. S h ire y , th e sum o f $331*00, a s o u tlin e d in F in d in g 5 ; to g e th e r w ith reim bursem ent u n d e r L abor Code S e c tio n 4600 In th e sum o f $150.00 p ay ab le d i r e c t l y t o D r. John K. S h ire y ; to g e th e r w ith such f u r t h e r m edical a n d /o r s u r g ic a l tre a tm e n t a s may re a so n a b ly be req u ired to cure o r re lie v e from th e e ffe c ts o f sa id In ju ry , as o u t lined in Finding #10. I f I S ORDERED t h a t th e l i e n c la im o f V eteran s A dm inistration H ospital and th e lie n claim o f D r. C. P ie rre DeLawter be and th e y a r e hereby DENIED. I f IS FURTHER ORDERED t h a t P h o en ix Indem nity Company, a c o rp o ra tio n , be and i t la h ereb y DISMISSED. DEFENDANTS ARE FURTHER ORDERED to r e p o r t to t h i s Commission on Form C-6 w ith in te n days a f t e r th e c e s s a tio n o f compen sa tio n payments under th e above continuing award. Copies of said form and copies of a l l re p o rts in c id e n ta l th e re to a re to be served on a l l a d v erse p a r t i e s b e fo re f i l i n g w ith t h i s Commission. CAM;NN 57-LA 132-835 DATED AT LOS ANGELES, CALIFORNIA NOVEMBER 27, 1959 3 F. A L ________ O E O R g E A . HARTINELLI Referee INDUSTRIAL ACCIDENT COMMISSION i *2 * I. ' f- i "f o r t i e s CQS/MUNtCAn'o# , M /1 A r m s tr o n g To V L. Hughes, Insurance Department, lancaster j Deccebtr 3, 1959 4 hem R . K . V i l B D D , South G a t e Svl^ecl Vorlc:4a*B Corr-rsatton Case Findings Uf -- ------- .I *,' --j r4,*Jy1 ^O ^.* f W* are er-cloting a copy of the fir-dings regarding a Vorteen Conpeasation ease Involving a prior employee of Arr-strong Contracting % Supply Corporation b e a r! before the Industrial Accident CouatiSBion. Tills report vas sent to us and is being forwarded on to you for your Information. m Enclosure I \ c~ I) OfFtCE COMtill NICAI ! OH To r a r s o m e l ' o p t . , L:;nc:.r. t o r (2 )* m s t r o n g C O N T R A C T I N G January 19, 1^! Ffom (033, h od A n 'T oleS Jr ~ e 3 Vhltco:.".' ' i l c y Yti have had correspond once from the Standard A c c id e n t Insurance Cn'- n r n v 1s Lor. /.r n e ie u ."'"'Ice r o n u o s tin -" c o m p l e t io n o f th e a zirera r-".'. n-r, forr. dor ' r e s u b * s e t forn ar emuloveo.. -.ceor U r n t o our *<?t in fo r m a tio n he -r-n employed b us in the f o u r th q u a r te r o f Durirrt t h o t p e r io d S ta -d a rir A c c id e n t I n s u r a n c e Co.'.rany c a r r i e d our v e r b -e n v co-:^er:-r'.t.Ion cove r a t e end t h e y ore n o 1.-; i n v o l v e d i n a clui". in v o lv in g Hr. u il e y . I f p o s s i b l e , p l e a s e c o m p le t e and rjeturn th e form to t n i s o f f i c e . a, 1 January 26, 1961 AIR MAIL Hr. R. B, Foso Armstrong Contracting and Supply Corp. Please call Standard Accident Insurance Company's attention to the fact that Hr. Riley worked only in Idaho and Washington with no employment in Ctlifornia. Sines you asked us to send this information to you direct rather than to Standard, mention that Riley was an employee of Armstrong Cork Company in 1951. Very truly yours, HLT Enclosure R. C, Schledt, Jr. Insurance Department .* \ % ' * o BZTCS Till ACCOTC0M M 1S5I0H C f Ii: STATE CF CALSfCnr-IA Notice and Request f o r A llo w a n c e o f L iti / M {(C > ^ &tt'* 9 s r c r / ... 'V ' 8 t 5 Ttetc r s r g J a if tn s tis n Bcar^iiS l case no, 57 ia l? 3 S35 la g s tooeh fcj CaligbrrJ: j t r j l Iftifrs'g b ? 'Xt * ^vU33 V.t vm) .-' *" bI V ji jt ccrsCTjthlret et a l ^ iL0 >',k \ ' J . <>t (firn ctti^ ad " * * * * #^ " c t sta tici *?rf?frSf v lth IMMII 1gi . ai *ml /n t. i ------j ^CtillfOTiua ***** tonlC j Titian C alifornia nuiMticuiiu The undersigned hereby reqwa the Industrial Accidtot Cnnunissiba te fraendne id sQov w a Bea die turn of .S h g e s .a m c r.1 T ina S aftm a *!**? flreiffunfi y y v t t .M fan (s A j& M S * --------- > pia any amouoc onr due or which may hemfter become payable es compenfitSoo m -- VM*ftqrib ffi.lCV {usato 7it3yy*iii-v) n accountofinjuryawtaunedbyhim nw ilfcTKiPJy NU lily >13 X y jT Thu requestand cUim foeteni*fon (Orca out paro not applicable} ^X0~J pKT du^) (1) The reasonableexpenseincurredby oron behalfofsaidemployeefor medical treatment nocuteor relieve from die Aceti of eaid injury; or gmetmoMwiliving arpamaBnof.iht mifa oonwwpffhiMrin, oo froth, of iffiid ^ipln;Tfiyiw*h,?fq,ortilifftl.Tfrilriitfl.af btyw y ^whafe euahampioy^*4madMwmhooi>*no$Uainyihia The undfrilfued derisiti that he delivered or nuhd a copy of th** Sea claim to each of the above turned partici on < }^r * ,s s tr illi u n w i ? m cita e u n u n v.:*^ va ns t e a Stoici f^rautv.-^a ixf'jlevusG. t r .9 T x z & z s x s i x i U i H p o c ;v;m i n t u i a r __ JiXOQ 3&i .... ....... Yrtftraa* A ^lTilffcptic? B o t t a i tr is to U ii fiA ia u r EMPLOYEE'S CONSENT T O A L L O W A N C E OP U N Icoatta! to the r tq v n tfj 8mme* / ftm {hut o>v mafnHllH, roNif aaa iiv. im 070 ** ^ iih w i n w iw ygi1j. / I > WUi*0aE fcF *C-K CUUK'&JRO Uit.SA iCi^. K'I-AOCV-O tot M^ats AlLANfA PUfiSuaiM SAN FASC4SCO KCV O '-M J W i ntAHi PMHADUfHl* *m+.,.' ^\3J3X A IN *!JD JG K & A K K X A K ilX K .R * iNCOBiOftArtn INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 3325 NORTH CHARLES STREET, BALTIMORE 1, MD. Nwflnbr 3, 1961 VUtfBD *U0* eat 5vsthHUtVK W M? C t t l E ACOIKSS -WOBLUt" Hr. Will lam L. Boghe* .Manager loiuritice Department Armstrong, Cork Company Lancaster, Pennsylvania. Travelers* Policy No, r e b 3386210 Dear Sirs- Please not disposition mad of the following claim: Data of Accident: Claimant; December 16, 1954 J a m e s W h ttc o ttb R lle y C* Location; Los Angeles, Calif, Claim Mo.; B-8545076 D isposition: Remark*: $ 200.00 - Pena. P a rtia l 1,124.91 - Fatal 254.36 - Expense Me do not appear to have received a previous report of this case. / ./ Vsry truly your*, ALEXANDER 6 ALEXANDER INC, Indicate Whether: Workmen's Como. x Auto L ia b ility 1 .1 .______ P.D.______ General L ia b ility B ,l. . P.D.___ LOSS' DEPARTMENT jm JU.JI 071 i IftP tIH l ,v V % f