Document 3ed7X4my19rrDdmvZNz6YJRKa
FILE NAME: Contract Unit Workers Comp Claims (WCC)
DATE: 1962
DOC#: WCC004
DOCUMENT DESCRIPTION: Workers Comp File - Wyss, John Contains all documents found in the Claimant's file, with one blank page between each separate document
/
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T- * * ' r- I A ^ C *
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J . * TM EIVED / ' , '~r~ JflN 1 196'!
Oal^iand Office
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^ y .y **-*> > ,H.'*A*i " ^\-
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STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION
APPLICATION
DtjnftcwrtofWiutrulM ^ kmi
[faiwc* ei Worin! Ajdrts
FILED
JAN 1] 1962
FILE SIGNED ORIGINAL AND SIX COPIES
(PHASE PRiKT OR TYPE KAKES AfjD ADDRESSES)
CASE NO.
Oakland Office
72Z"
A I,
<
JOHN m s _____ __________ ___ _ appwcai*--
507 Capp .3tre$t
AAPPPPLL IICCAAN*T I A D O R ES
San Francisco. California____
vs.
Mundet Cork Co, and many others
Social Security No...........5 5 .8 " Q 1 - .3 5 Q 2 . ..... .....................
_440 Brannan Street
____
IN P L O U t f S D Iit l
San Francisco, Callfornla
Aetna Casualty Surety Co.
S a P lO Y IS 'S D IS V IA R C I C A R U S I
220 Montgomery Street
IMSURARCC C A R I I I R % A ODIC SS
San Francisco, California_____
1. JOHN WYS3
h a m s o r im p l o t e k
aiL. aabeatoa-gorker._
O CCU PATIO N A T T IM I O f IN JU R Y
Mundet Cork Cru .......
r a r i o r u m o r i
Exposure-to ..duat-.and-
____ , DATA O f R IIT M
allegesthat whileemployed on...NY.?.. AQ.i--. 19_.6l\
A T I o r IN J U R YT
..at. ___ .Yarioua...planea .. . ..
C 1TT, TOWN OR P IA C I W H Ilt I U U I T O CCURRED
California, by
., __he sustained injury arising out of and in the course of the employment, as follows:
.ovar -mapy.para
l i r v A i h o w ih jw . t w a s s i c i i v i .
___ __________ _____ resulting in
cheat. disability.-..
S T A T S W H A T P A S T S O P S O O T W i l l I H J U S I D A WO S U .S I Q U C N T W TS V ILTS
2. _____Aetna Casualty & Surety Co. ._.... was the employer's insurance carrier on date of injury.
R A M I o r Itt fU R A M C I C O M PA RT 0 . I f IM P L O T IR W AS MOT IM S U R K D . S T A T I W R IT H E * S I I F - I M I U R I O O S U N IR t U R ID
3. November 10.
____________
PtR tO O S O f t WORK 0 U ( TO T H I IN JU R Y
__ ______ -- ..
O A TI IN JU R ED RKTU RN ED TO WORK
-..............
OAT I LA ST H C O IC A L PU t N IR N 1 0
4. Was compensation paid?--------- HO.
TKS 01 * 0
I-
TO TA L P A I
W I H IT RATI
D A T I OF LAS T P A T R I K T
J, Earnings at time of injury $______Q&X______ @ ..................... _............... .. The basis of pay w as..........................................
DHTH . W I I
S T A T I P . T P I 8 1 O 0 O S H O U IL T I A T I . H O U SS A DAT A H 8 OATS A W 1 1 I
6. V as medicai treatment needed?-- y&S...
Who furnished treatment?.
self
I V I H A R K S o r DOCTORS WHO T I K A T ID TH K IN JU R Y AND S T A T I WHO PAID T H I) D IL I* a *
7. This application is filed to determine liability for:
a. Temporary disability....JfjCuS b. Permanent disability____jT 3 c . Medical treatment .. .y& S d. Medical costs..
T Z S 0 MO
T K S OR HO
e. Litigation expense....... ......... f.
T I S 0 MO
S T A T I ART O T H IS RtASOM
.
59 OAK. 1 3 4 3 .
L IS T C A S I R U M IIR S O f ANT O T R I A PPLIC A TIO N S F IL IO
WHEREFORE, it is requested that a time end place be fixed for bearing and that an award be made granting such relief as may be
proper under the Workmen's Compensation Laws of California.
- -
Dated at.________________________ California, ... . J a n u a r y . . . i a #_ .J L 9 6 2
C ITT
/ \
/ )
Hearing requested at----------- 09^9^.45.^.. Number of witnesae*__ Estimated time of trial-----
. V V - ^ / . . ...........A--*- , r
APPLICANT % Ir a T U S I
I }
\ ,,
('; ' ) Xs
H^.JABRISHy.TJmUck. L..CIANCY
APPLICAR T S ATTOSHIT
3l$ Financial Center Building Oakland 12, California
1tAtiSA.l/W
garding the various listed enrployers.
Coen Company - No Record.
Mundet
Cork Corp. - No record prior to 12-51-39
Aetna Casualty & Surety Co., Policy 1C-110500, 12-31-39A h
"
Policy lC-10000, 12-31-hO/h5
"
Policy C-20200, 12-31-15/16
"
Policy 1-C32100, 12-31-16/17
"
Policy 1-Cll800, l2-31-h7A8
"
Policy 1-C11800, 12-31-1S/19
"
Policy 1-C70600, 12-31-U9/50
"
Policy 1-C6720, 12-31-52/55
Policy 1-C23hl3, 12-31-bO/Cl
Plant Rubber & Asbestos Works - No Record.
R. W. Gildings Supply Co. - No Record.
Bay Cities Asbestos Co., Ltd. - No Record.
Western Asbestos Co. State Compensation Ins. Fund, Policy 95221, 1937 ohro\igh 1
Standard Asbestos Co. - No Record.
Warren & Bailey Co. - No Record.
f. Thorpe & Son, Inc.
Pacific Employers Ins. Co., Policy C-59886, 9-30-38/39
"
Policy C-T0T81, 1 0 - 1 - 3 9 A 0
Industrial Indemnity Co., Policy CC-100021, I-I-56/57
Plant
Asbestos Company - Ko record prior to 10-1-39-
Pacific Eiaployers In6. Co., Policy C-70782, 10-1-39AO
"
Policy C-71790, 10- l A o A l
"
Policy C-769^5, 1 - 1 - W 4 9
"
Policy WCC-51378, 1-1-49/50
Industrial Indemnity Co., Policy CP-10065^, I-I-56/57
"
Policy CP-608056, 1-1-59/60
Fish-Dee-Lish Corp. - Ho Record.
E . B. Badger & Sons Co. - No Record.
Harry A. Dutton, Jr., Dutton Asbestos Co. - No.Record.
Van Arsdale Harris Limber Co., Inc. - Ho Record.
Richmond Shipbuilding Corp. - Ho Record.
Western Precipitation - Ho Record.
Permanent Metals Corp. - Ho Record.
G. R. Dutton & C. A. Leighton, et al, Western Fiberglass Supply Ltd. - Ho Record.
Frecac-Lorentzen Co. - Ho Record.
Asbestos Supply Co. of Seattle - Ho Record.
Racosa Asbesto3 Co., Charles R. Brower & E. E. Sabsrhogen - No Record.
Motel Clad Insulation Co., Inc. - Ho Record.
Jarsr & 01man Co. - Ko Record.
Chas. R . Brower & Co., E. E . S&berbagea ^
rest - Ho Record.
libs E . J . B a r t e l ls Co.
\
1
H&rdrare Mutual Casualty Co., Holley < t2k6Q 0. 10-1-52/53
Charles Ayers Co. - So Record.
*' ^ ' '*
ou
' '
V ** "
Fiberglace Engineering L Supply Co. of the Eorthvcet, Inc..- Hot California.
Northvcst Cork & Asbestos, Inc. - Ho Record.
Armstrong Cork Co. Travelers
Insurance "
"
Co., Policy RUB-3386210.
Policy RUB-A9C459. 1-1-5
:(
i.;JP-6v 38''! I-J-V'/
I-I-5J+/55
A
lU AUJ u.-*jinlii
v~* v- i t v-- x
'oast Insulating Products (A Corp.)
Argonaut Insurance Co., Policy 86736, 5-1-55/56
"
Policy 95792, 5-1-56/57
Pacific Employers Ins. Co., Policy WC-15163 5-1-57/58
Insulation & Asbestos Industry Works or North California Vacation Trust
Fund Local No. 16 - No Record.
Muldoon Company
Industrial Indemnity Co., Policy CG-503004, 7-1-56/57
Owens
Corning Fiberglass Corp. Aetna Casualty & Surety " "
Co.,
Policy 31-C-822, 9-1-56/57 Policy 31-C-879, 9-1-57/58 Policy 31-C-926, 9-1-58/59
Wm. Thomas Tuck - No Record.
Dan Cav
Industrial Indemnity Co., Policy CN-208831, +-21-57/58
"
Policy CN-216623, +-21-58/59
Thos. C. Douglass, Jr., Douglass Insulation Co.
U.S.Fidelity & Guaranty Co., Policy CPJ-IO65, 6-19-57/58
/Armstrong Contracting it Supply Co.
Travelers Insurance Co., Policy RUB-7226992, 1-1-58/59
"
Policy RUB-7768159, 1-1-59/60
Harold G. Lorentzen, Lorentzen Co.
Industrial Indemnity Co., Policy CC-60005^, 1-1-59/60
Argonaut Insurance Co., Policy 53565 l-l-6o/6l Policy 6687?j 'I-I-61/62
...UAu
J
1
WORKMEN'S COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3
4 JOHN WYSS, 5
\ V
Applicant
CASE NO. 62 OAK 7^22 OPINION
6
vs
and
7 MUNDET CORK COMPANY, and AETNA
CASUALTY & SURETY COMPANY, et al
8
9
Defendants
ORDER
Co/npromise Release)
10
11
12
Reconsideration was granted herein and the
-returned to
13 the calendar for further hearing on the issue of prqper parties
14 defendant. A hearing was held and thereafter the parties filed a
15 proposed settlement agreement providing for a lump sum payment to 16 applicant in the sum of $6 ,500.00, less attorneys1 fees and costs,
17 and further providing that applicant shall assume unpaid and future
18 medical and hospital expense. We find, from the record and the
19 settlement agreement, that no part of the proposed settlement sum
20 is attributable,to temporary disability indemnity.
21
It is the opinion of the Workmen's Compensation Appeals Board
22 that the Compromise and Release Agreement is adequate and in the
23 best interests of the parties and therefore should be approved.
24
Applicant's attorneys have rendered services herein of .the
25 reasonable value of $650.00 and have advanced litigation costs in
26 the sum of $47-00 on behalf of applicant.
27
For the foregoing reasons,
28
IT IS ORDERED that the Compromise and Release Agreement filed
29 herein on March 8 , 1966, be, and the same hereby is, APPROVED,
30 payable in the manner and by the named parties as follows:
< 3 ::
1 >-S3 C
vw 2 Pi'a*
-
1
(a) To applicant, John Wyss, by Aetna Casualty &
Surety Company, the sum of.$2,499*55j less the
2
sum of $697*00 payable to Smith, Parrish, Paduck
8a Clancy for attorneys' fees and costs............... $2,499*55 3
(b) To applicant, John Wyss, by the- following:
4
State Compensation Insurance F u n d .... ............ 1,429*34
5
Plant Rubber & Asbestos Works, a corporation....... 790*09
6
Pacific Employers Insurance Company................. I58.OI 7
Industrial Indemnity Company........................ 215*48
8
Argonaut Insurance Company...........................581*80 9
Fireman's Fund Insurance Company........
129*29
10
Travelers Insurance Company......................... 603*34
11
Ocean Accident & Guarantee Corp., L t d ................43*10
12
United States Fidelity & Guaranty Company........... 25*00
13
Employers Mutual Liability Insurance Company
14
of Wisconsin......................................... 25*00
15
TOTAL
$6,500.00
16
17
18
WORKMEN'S COMPENSATION APPEALS BOARD
19
20
21
22
23 24
25
26
27
28
h Z 't
rS b
CM
30
*>.33343
2 t It
fa ir '\
I
' 1
ORKMEN'S COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3
4 JOHN WYSS, y 5
Applicant
CASE NO. 62 OAK 7^22 OPINION
6
vs
/
7 MUNDET CORK COMPANY, and AETNA CASUALTY & SURETY COMPANY, et al
8
and
ORDER
9
Defendants
10
11
12
Reconsideration was granted herein and the case returned to
13 the calendar for further hearing on the issue of proper parties
14 defendant. A hearing was held and thereafter the parties filed a 15 proposed settlement agreement providing for a lump sum payment to 16 applicant in the sum of $6 ,500.00, less attorneys* fees and costs,
17 and further providing that applicant shall assume unpaid and future
18 medical and hospital expense. We find, from the record and the
19 settlement agreement, that no part of the proposed settlement sum
20 is attributable to temporary disability indemnity.
21
It is the opinion of the Workmen's Compensation Appeals Board
22 that the Compromise and Release Agreement is adequate and in the
23 best interests of the parties and therefore should be approved.
24
Applicant's attorneys have rendered services herein of the
25 reasonable value of $650.00 and have advanced litigation costs in
26 the sum of $47.00 on behalf of applicant.
27
For the foregoing reasons,
28
IT IS ORDERED that the Compromise and Release Agreement filed
29 herein on March 8 , 19 6 6 , be, and the same hereby is, APPROVED,
30 payable in the manner and by the named parties as follows:
M 33<
1a 1
*
1
(a) To applicant, John Wyss, by Aetna Casualty &
Surety Company, the sum of_$2,499o5j less the
2
sum of $697.00 payable to Smith, Parrish, Paduck
& Clancy for attorneys' fees and costs..........
$2,499.55
3
(b) To applicant, John Wyss, by the following:
4
State Compensation Insurance Fu n d ........
.1,429.34
5 Plant Rubber & Asbestos Works, a corporation...... 790.09
6
Pacific Employers Insurance Company................. 158.01 7
Industrial Indemnity Company..... \ ................. 215.48
8
Argonaut Insurance Company .......................... 581.80 9
Fireman's Fund Insurance Company'.......... ...129.29 10
Travelers Insurance Company................. j/......603.34 11
Ocean Accident & Guarantee Corp., L t d ................43.10
12
United States Fidelity & Guaranty Company........... 2 5 .00 13
Employers Mutual Liability Insurance Company
14
$t ^
of Wisconsin......................................... 2 5 .00
15
.
TOTAL
$6,500.00
16
17
18
WORKMEN'S COMPENSATION APPEALS BOARD
19
20
21
22
23
24
25
26 Service by mail to all parties/as shown on Official Address Record.
27
28
Z& l
I
30
<9333!
2
C . (co'rvcvv^ .. _._______ __________________________ __ _____S '-f n -fry _----
. _
y \ S'S________________ _______________________O x .11 'f~ y r .y y \ _ b ^
X^'4j'<x ( ---- C-(cuVw.____________
... Al^Kctef-__Cor jc.______ -________
__ PI a* R v o /U r__ aviCi^. $S&er?J?
A*-v sj-rc ___ C.oje.S__ _____ ,,
jJQCX
I^ i s^ft4a^^agit m & s ^ v a t s 9 - & j i s
inf!*rJ'id /odon* C i,-mit;lon
i t r c E IVED
" JAN 1 0 19c'5.
Oakland Offico
STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION
APPLICATION
Ilipirfwwrt of hdutriW IUUimw
Dw m m ofWwtriafAndar*
FILED
JAN 11 1962
FILE SIGNED ORIGINAL AND SIX COPIES
(PLEASE PRINT OP TYPE KANES AND ADDRESSES)
JO H N W YSS________________________________
A PPLIC A N T--
CASE NO.
c /x O akland O
- >
ffice
7T
2
Z
507 Capp Street.........
APPLIC A N T I ADDRESS
San Francisco. California
vs.
Mundet Cork Co. and many others
Aetna Casualty k Surety Co.
I N P L O Y I I S IN SU RAN CE C A R R IE R
Social Security N o...........5 5 . ._ 0 1 ~ .3 5 .2 .
440 Brannan Street
E M P LO Y ER 'S AOORKSS
San Francisco. California
220 Montgomery Street
IN SU RAN CE C A R R IC R S A D D IC S S
San Francisco, California
1_____ JO H N WYSS _____________________ ( ^ 1 ^ /9 9 ^ aHeges thit while employed on____ A P .!____________
NANC OP IM P L O Y ff
A T I OP 117
A T I OP IN JU R Y
at a f l h f f a t n a w o r k e r ______________ at____________- V a r iO U a .- P la c e J B .- ....... ............. ....... ................, California, by
O CCU PATIO N A T T i m O f IN JU R Y
C IT Y . TOWN 0 P U C I Y K I I I IN J U It OCCUR R ID
M u n d e t Co r k e c u .......... ....................____ , __he suatained injury arising out of and in the court of the employment, at follow:
u t i or i.r t o r r t
K x p o a n r f t . - t n . - d u & t . . a n d - f o r e i g n a u b a t a n c e a - o y e r ~ m a n y .y ? a r a .......- -----------------------------reciting in
IS N IA IN NOW IN JN N T WAS B IC I1 V IN
c h e a t , d i s a b i l i t y --------------------------------------------------------------- ----- - ................................................................ ...... ........ ....... ........
T A T I W HAT PA RTS OP SCOT W IR E IN JU R ID AND SU RSEO UEN T R ES U LT S
2. A e t n a C a s u a l t y Se S u r e t y C o . ......... ..... ................... ..... was the employer's insurance carrier on date of injury.
J M f OP IN SVRAM CX CONRANT O R. IP I P LO T S W AS NOT IN S U R E , S T A T f W H IT H I* IE L P - IN S U R E O OR U N IN SU RCO
j. .iL v g m b e jE ,_.2 Q J... I 2 6 i . . t f i . . j p . p e j 5 i . a . t ____________________
PC RIO O S OPP W ORK DUK TO T N I IN JU R Y
_____________________ __
D A T I IN JU R ED T U R N ! TO W ORE
____ ____ ______________
D A T ! LA ST M ED ICAL PU RN ISH ED
4. Was compensation paid?______ H----------- $.................................................. $.............................................. ................................ ......
T K R OR NO
TO TAL P A I
W KKUY RATI
D A T I OP LA S T PA Y M EN T
5. Earnings at time of injury $______S A X --------- @ -------------------------------- The basis of pay was................ -- ...........................
O R TH V I I I
S T A T E PAT PER IO D OR NOURLT R A T I. M CURS A DAT AND DATS A E L K
6. T a s medical treatment needed?---- . . . y e a . _____ _ Who furnished treatment?........... s e . l f - .................. ......... ........ ....... .................
Y I S ON NO
t. t u t N A N I S OP O e T O R S VM O T R E A T E D T N I IN J U R Y AN D S T A T E V H P P A IR T H E I R R I L L S
,
7. Thit application is filed to determine liability for:
a. Temporary disability....y fifl b. Permanent disability____y e f l e . Medical treatment . . . .y 3 d. Medical costs---------- ------
T i l ON NO
T t s ON NO
T IN ON NO
T I N ON NO
e. Litigation expense........ ........
1 U ON NO
f.
S T A T I ANT O TH ER REASON
59
OAK. 1345
L IS T C A S I N U N 1 IR 9 OP ANY O TN K S A PPLIC A TIO N S P IL I
WHEREFORE, it is requested that a time end place be fixed for hearing and that an award he made granting rucb relief as may be
proper under the Workmen's Compensation Laws of California.
- -
Dated at__ Oakland A . California, .... January...JLCU_J362
C ITY
/ \
f)
Hearing requested at----------- QA.
c it
Number of witnesaes_____
APPLICANT TrRiaTURE------- f e T / I ^ /T7
Estimated time of trial........ * _
H^-^ABEISHy .FADIK2K-fc_.CIJLMCY
APPLICANT 9 ATTORNEY
F in a n c ia l C enter B u ild in g land 12, C a lifo r n ia
U-M(
ffifi-Ko
garding the various listed e/nployers.
Coen Conpany - No Record.
Mundet
Cork Corp. - Ho record prior to 12-51-39
Aetna Casualty & Surety Co., Policy 1C-110500, 12-31-39/44
"
Policy 1C-10000, 12-31-40/^5
''
Policy C-20200, 12-31-45/46
"
Policy 1-C32100, 12-31-46/4?
"
Policy 1-C44800, 12-51-47/48
"
Policy 1-C44800, 12-31-43/49
"
Policy 1-C70600, 12-31-49/50
"
Policy 1-C6720, 12-31-52/53
Policy 1-023413, 12-31-60/Cl
Plant Rubber & Asbestos Works - Ho Record.
R. W. Giddings Supply Co. - No Record.
Bay Cities Asbestos Co., Ltd. - Ko Record.
Western Asbestos Co. State Compensation Ins. Fund, Folicy 95224, 1957 through 16
Standard Asbestos Co. - No Record.
Warren & Bailey Co. - No Record.
if
J. T. Thorpe & Son, Inc.
. .
j
Pacific Employers Ins. Co., Policy C-5^386, 9-30-38/39
"
Policy C-70781, 10-1-39/40
Industrial Indemnity Co., Policy CC-100021, 1-1-56/57
Plant
Asbestos Company - No record prior to 10-1-39
Pacific Employers Ins. Co.,Policy C-70782,10-1-39/^0
"
Policy C-71790, 10-1-40/41
M
Policy C-76945,I - I - W A 9
"
Policy VCC-51378, I-I-49/5O
Industrial Indemnity Co., Policy CP-100654, 1-1-56/57
"
Policy CP-608056, 1-1-59/60
Fish-Dee-Lish Corp. - No Record.
E. B. Badger & Sons Co. - No Record.
Harry A. Dutton, Jr., Dutton Asbestos Co. - No.P.acord.
Van Arsdale Harris Lumber Co., Inc. - Ho Record.
Richmond Shipbuilding Corp. - No Record.
Western Precipitation - Bo Record.
Permanent Metals Corp. - No Record.
G. R. Dutton & C. A. Leighton, et al, Western Fiberglass Supply Ltd. - No Record. Freeac-Lorentzen Co. - No Record.
Asbestos Supply Co. of Seattle - No Record.
Racosa Asbestos Co., Charles R. Brower 6 E. E. Saberhogen - No Record.
Metal Clad Insulation Co., Inc. - No Record.
Jsnar & O lxm n Co. - No Record.
Cfcas. B._Brower & Co., E. E. Saberhagen irr^^^crost: - No Record.
Hie E, J. Bartella Co.
\
-
Hardware Mutual Casualty Co., Policy 24680..10-1-52/53
Charlee Ayere Co. - So Record.
\. -
Fiberglass Engineering & Supply Co. of the Northwest, Inc.. - Not California.
Northwest Cork & Asbestos, Inc. - Ho Record.
Armstrong Cork Co.
Travelers
Insurance
"
"
Co.,
Policy RUB-33862IO.
Policy RUB-4490459'.
'( . y i.rJB -6v 38'4_
1-1-54/5/
1-1-55/^
2 - J - y; / r t
t *
*
"
Oakland, California
Coast
Insulating Products (A Corp.)
Argonaut Insurance Co., Policy 86736, 5-1-55/56
"
Policy 95792, 5-I-56/57
Pacific Employers Ins. Co., Policy WC-I5163, 5-1-57/56
Insulation & Asbestos Industry Works or North California Vacation Trust
Fund Local No. 16 - No Record.
Muldoon Company
Industrial Indemnity Co., Policy CG-50300^4-, 7-1-56/57
Owens
Corning Fiberglass Corp.
Aetna Casualty & Surety " "
Co.,
Policy 31-C-822, 9-1-56/57
Policy 3I-C-879, 9-1 -57/58 Policy 31-C-926, 9-1-58/59
Wm. Thomas Tuck - No Record.
Dan Caw
Industrial Indemnity Co., Policy CN-208831, ^-21-57/58
"
Policy CN-216623, U-21-58/59
Thos. C. Douglass, Jr., Douglass Insulation Co.
U.S.Fidelity & Guaranty Co., Policy CPJ-IO65, 6-19-57/53
/Armstrong Contracting & Supply Co.
Travelers Insurance Co., Policy RUB-7226992, I-I-58/59
"
Policy RUB-7768159, 1 -1 -59/60
Harold G. Lorentzen, Lorentzen Co.
Industrial Indemnity Co., Policy CC-600054, I-I-59/6O
Argonaut Insurance Co., Policy 53565, I-I-6O/6I
"
Policy 6687% 'I-I-61/62
1 '
l*^*tJi*^***`----ftri7i'tj
/
1
ORKMEN'S COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3
4 JOHN WYSS,
CASE NO. 62 OAK 7422
5
Applicant
0 PI N I 0 N
6
and
7 MUNDETT CORK COMPANY, and AETNA
CASUALTY & SURETY COMPANY, et al 8
ORDER
9
Defendants
10
11
12
Reconsideration was granted herein and the case returned to
13 the calendar for further hearing on the issue of proper parties
14 defendant. A hearing was held and thereafter the parties filed a 15 proposed settlement agreement providing for a lump sum payment to 16 applicant in the sum of $6,500.00, less attorneys' fees and costs, 17 and further providing that applicant shall assume unpaid and future
18 medical and hospital expense. We find, from the record and the
19 settlement agreement, that no part of the proposed settlement sum
20 is attributable to temporary disability indemnity.
21
It is the opinion of the Workmen's Compensation Appeals Board
22 that the Compromise and Release Agreement is adequate and in the
23 best interests of the parties and therefore should be approved.
24
Applicant's attorneys have rendered services herein of the
25 reasonable value of $650.00 and have advanced litigation costs in
26 the sum of $47-00 on behalf of applicant.
2?
For the foregoing r e a s o n s ,
28
IT IS ORDERED that the Compromise and Release Agreement filed
29 herein on March 8, 1966, be, and the same hereby is, APPROVED,
30 payable in the manner and by the named parties as follows:
M 33
' 5 1
.
A
1
(a) To applicant, John Wyss. by Aetna Casualty &
Surety Company, the sum of .$ 2 , 4 9 9 o 5 j less the
2
sum of $697.00 payable to Smith, Parrish, Paduck
8s Clancy for attorneys' fees and costs............... $2,499.55
3
(b) To applicant, John Wyss, by the following:
4 State Compensation Insurance F u n d ................. 1*429*34
5
Plant Rubber & Asbestos Works, a corporation....... 790.09
6
Pacific Employers Insurance Company................. 158.01
7
Industrial Indemnity Company..... *.................. 215.48 8
Argonaut Insurance Company.......................... 581.80
9
Fireman 's Fund Insurance Company.......... ...129 29 10
Travelers Insurance Company.......... ..]/........... 603.34
11
Ocean Accident & Guarantee Corp., L t d ............... 43.10 12
United States Fidelity & Guaranty Company........... 25.00 13
Employers Mutual Liability Insurance Company
14
of Wisconsin........................................ 25.00
15
TOTAL
$ 6 ,500.00
16
17
18
W O R K M E N 'S COMPENSATION APPEALS BOARD
19
20
21 22
23
24
25
26
27
28 4-22
2ScB 30
4 339
3
2
ir
J
1
WORKMEN'S COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3
4
JOHN WYSS ,
5
6
vs
Applicant
CASE NO. 62 OAK 7^22 OPINION and
7 MUNDET CORK COMPANY* and AETNA
CASUALTY & SURETY COMPANY, et al 8
9
Defendants
ORDER
[Approving Compromise and/Release)
10
cate
11
BY
12
Reconsideration was granted herein ana "cr
'e t u m e d to
13 the calendar for further hearing on the issue of prc >er parties 14 defendant. A hearing was held and thereafter the parties filed a 15 proposed settlement agreement providing for a lump sum payment to
16 applicant in the sum of $6 3500.00, less attorneys' fees and costs,
17 and further providing that applicant shall assume unpaid and future
18 medical and hospital expense. We find, from the record and the
19 settlement agreement, that no part of the proposed settlement sum
20 is attributable..to temporary disability indemnity.
21
It is the opinion of the Workmen's Compensation Appeals Board
22 that the Compromise and Release Agreement is adequate and in the
23 best interests of the parties and therefore should be approved.
24
Applicant's attorneys have rendered services herein of .the
25 reasonable value of $650.00 and have advanced litigation costs in
26 the sum of $47.00 on behalf of applicant.
27
For the foregoing reasons,
28
IT IS ORDERED that the Compromise and Release Agreement filed
29 herein on March 8, 1966, be, and the same hereby is, APPROVED, 30 payable in the manner and by the named parties as follows:
M>.8J3 2(3'
m 2 ftv ?
*
1
(a) To applicant, John Wyss, by Aetna Casualty &
Surety Company, the sum of. $2,4-99*55* less the
2
stun of $697.00 payable to Smith, Parrish, Paduck
& Clancy for attorneys' fees and costs............... $2,4-99*55
3
(b) To applicant, John Wyss, by the following:
4
State Compensation Insurance F u n d .... ........... 1,4-29.34-
5
Plant Rubber & Asbestos Works, a corporation....... 790.09
6
Pacific Employers Insurance Company................. 158.01
7
Industrial Indemnity Company........................ 215.4-8
8
Argonaut Insurance Company........................ 5 8 1 .8 0 9
Fireman's Fund Insurance Company.................... 129*29
10
Travelers Insurance Company..........................603.34-
11
Ocean Accident & Guarantee Corp., L t d ................4-3.10
12
United States Fidelity & Guaranty Company........... 25.00
13
Employers Mutual Liability Insurance Company
14
of Wisconsin......................................... 25.00
15
TOTAL
$6,500.00
16
17
18
WORKMEN'S COMPENSATION APPEALS BOARD
19
20
21
22
23
24
25
26
27
28 422
C & 30
A 33S -9 V
2 -
I
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CLAIM NO 62 OAK 7422
vis?
vs
MUnDSI' CORF COM}'/.HT a-id AETNA CASUALTY k SURET/ CCA1CAMY c-t a i
>ef end-mr,s
NOTICE O? TIME
ANi; 10./. CF
\j
i'CRT.'FJi -'EA~ 1"C
z'
J O ", /y*/<s/
NOi'.A 1 .
FARCIEc
ou ex-; h iA-'.by uoc.l.'isd f. ai:, i'urthc Ef ri ins '.1 j r en o a b o - e --c r re ltl* ';'i a c t i o n 1 1
oe hfcao.
3 0 OC 3ta;:-. B u i l d i n g Ili Osr v3n Street C'a : j a n d . Ca ll
December 9th,l65
7:00 R L 3 ,ui
I ALL DAY)
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C
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G asa F O 6 2 C A R 7 4 2 2
t`C"in Ay ., V. f- 3ou 913, Cl'var lake Fi phi and.s., Lakt- Count"
crr..'.il .? r-.sr ."'aducir & Cl.?n e / , 3 1 F i n a n c i a l C e n t w Bing., OePKi&r.d J *
Munde-. i . tco tan y . 4 4 O Irannan Streme.., Sar Frani.-.'.seo
y. e e u C;.e 1* } 3: Surety Sei..240 Montgemcry Street. San Francisco f::. i .t- : .icr.iu L 1: noi~-d,2A(. Bush Streets San Francisco
r.sl ir da/inity T u u .y,;3 5S Sah storno Se. ... San Francisco
?a< ifjo Dvr-ivy* es nsurs ,n e C e e 2 3 4 Fina Strvet . San Francisco
Stt te Con non.cal icn Incur ar.ee- Fune'.,-525 Golden Gata Avenue,. San Franoi s.j
Ocean A :cident <1 Guaranty incoCo., Lite. ,.315 Mont gas cry Seiest San rrar.et sei
Dholov.;-' Mu url L_aloIrs. C e uof Wisconsin, Bor: r/.;?. San Francisco
Firtiu-i) "t Find L.s jranet Goupany 332 P.-ne Ssre-nt. San FrarrMsru
TraveM 1 Inuuranc2 Go.
j -> Webster Sutrr,,. unta LPG.
Argonaut Incur: nee Co. 530 California Streos, 3 a* Franc!neo
U* '.'iov.lxt-/ CuCfCOtty Co... 44.. California S- :o , San F'rc.'i: eu
Hanna 4 IronCy,, u5-->f Fan Pablo nvenus. Oaklnrc
l'syior : Porter,, 233 dtrsuxu Street. Sau Francisc
Brcbaol-,.,Phiogor 3; Harriron. 111 Button Stroe:,. 3o.r Francisco
State D;]'?.rt';:!or;t cf Sntio'nucnt, Ben 3 53 A;.Ri neon Annex,,San Francisco
Plant Falber 4 Aste-:tos fo r k s , 537 Branuan Street- San Francisco
Bay Cli i^s Asbestos Co, Ltd.,, c/c Wester:. Asbestos Co
VJestc-rn AsV-stos C-ocroany^ 6?5 Tovmsend Street, Sa:: Francisco
Stand. .2 i ist-s os Company... 450 Br-yant Street,. Sen Francisco
V/'frron Bai re., Ce., XyC Second Street, San Franc, sec
J T r:loupe- & San, Inc.., 1331 Ocean Averme.. finsr., via ie
PI?nt Asbest 'C- Company., IJOC - 6':t': Struct, Emei-yui 1: a
E. B- Bidder i Sent Cora.arry>7 5 F..t*.0 Ser et .Beel 3. .Ma ssa chu sa ci a
Herr ; A... ..ir/rojif r : ,tue ton -si:etto,s C'o , :>2 Bato'- St re -an Tranci
Var -.rdale Harris Lumbar C o ,,I n c -, ytr k. Brannan ta. .vis
'?n e i s ce
Coast insuiaring Products, 2316 San Fernando Road, l.a3 An re
Hi chaiend Shipbuilding Cc-rp, Bere 1072- Richmond
Wo-stecr; Free 'citation,, 1010 V4, Ninth Street, LosAn.geles
Permanete. Hinca as Corp s Box: 1072 . Ricirorid
G R o Dutton iS C ,1. Leigut. en atr.I.dba Western Fiberglass Sapy.
ltd,
7?-> Prye-nt St'-a at, Sa: Francisco
ucaritii yens Co,, 69A H lane cote Street, San Francisco
?: bere. :.?.s L t,,nx.ring 6 Supply Co* of tea Kertbueut, Inc-, 4;. L o r t h ' u c s t G i l s o n S t r e e t , P o r t l a n d Oregon
7: u-.-,~i *; le fe C o u r a r y . L i b e r t y L C h a r i e s t : t i '-:..ts. L a r c a s OI.
p-T-ivy, 3537 Tiesta., Fruteo ai-u; F i b e r g l a s . . ; C o r u , Bex f>r . S a r t a e i a : :
T
la ti.-. Insulnu'.ous., 36CA 21t.h A-, ::;.;.-, Ana I-rcu<.:s
e
Don:-lass,, Jo... db- i-;v f ::: Insuls L- c. ,. ;a ,
cas rranclsc-a
" : . a t ...na Con t CU ''' ll aun
s
u
r .t'oa - G.. In '.'-oat .a:
. a : t ' a . a . j -u . f '' .-
t?
or ;
Mullen & Filippi, 315 Montgomery Street, San Francisco 94104
-A
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CLAIM NO, 62 OAK 7A22
VICE TO " I- u PARTIES
: li -7.- l :
J. ;U
r. i. t. - ' 'fe- -u
f u r t h s i hi.?.: i/ifr
be held
i 1.
'-.ir.
Lj.:.':r 12c
December 9bh#1965
v n M T 710N
{ ALL DAY)
ai : .77.. .i ' ..
,,
u
" -r
2 2 lbt>5
1
wCvir.
---b o.
U K ! t..
loan Ayr r r. Bex 913, Clear lake highlands, La Ire County
Uriah. i.r x U r u e a c k & Clancy ,.315' Financial Center B l a g ..Oakland y: c ..
Mundet ;'l, :: Co::,urn/. 440 I'rannan Street, San Francisco
Aetna or.r ar.j ty A Surety Co. .220 Montgomery Street., San. Francisco
S-igtr* cl:. r>-.ta n ,Koran 4 i m e Id .100 Lush Scr'-ut San Francisco
Induct:.a =. X r c a n i t y Cr ;. ..-.y,350 Sansone Sti .c-. San Frs.nci.sco
Pacific IF ,Jj ovvrs lus-ur .! t, Co,, SV,- Pine Streo'. . San Francesco
St.ate
0 a?.1;
r,
,
X.U . K
r,ym T T- tna
C''.;v-.noation Insurant Fund.125 Golden Geto Avenuev San Francisco
"c: Ui-: A Co aran ty Inc.Co,.Lite. 315 Montgomery Street San Frenai
! Liab, I: s .Co of V/isecnsin,. Box 7 2 1 X,, San Francisco
Insuranc.. (\n;:sny. 132 Pine Street.,, San Francisco tu.c.. ". . V : 1 batei - Oatt-re .'v.. e , - . .ana
is. -
5 Fj Cv 11 'Acni' Streu:. San Francisco
;t-ii- tvari:: t, Co .- W California Street;, Sar Fra net;?co
. r: ? .'';-;C 'r.u ;`able Accano. Oakland
j'-tyu. * i
, 1 ;'5 SensuUs: Street. San Frate L'Cv
B r c b V o l e y e i ' 4 Harri;.-tu. 111 Sutte:.* Street,. San Franiisct
State Dsparte: out of S f p l o m o u t ? Ec3531-rPiacon Annex,Sar Francisco
Plaut Ritter -. Anhaltes Wrlrs,* 537 Brannai; Street,, San Francesco
3-ty
Asbestes Co., itd,, c/o Westert. Asbestes Co.
liest,a m Asbostos Company, 675 To waren** Street; San Pj ar.cicoo
Stenic.rl 1 thj s u o s Ccar.Gny. 450 Brytnt Street,. 5an Francisco
tX-rroi: .1 Bailey Cc,,s lyi Socond Street, San Francisco
J., 7 Trespe 1: S o r , I n c * 1351 Ocean Avenue. Btaryville
Plen: A U ose cs Company. 1300 - 6lth Street, Snnryville
E-, D.- F'-ly tr A Sons Cc~>,any;,75 Pitt Street,Bosto'!>fe asachusetts:
rr:-y '. Butt u-, -.'r.^Dutton Acbooto:; Ce.532 Nato .a Br.re*..*.-Ser* Frene: :o
Van A m d o x : rri r Lumbcr Go ,,In-*:. ,>tb &. Bronnan Streets .Pan F/ tr.cis
Cuc.o :. Ir.eola ,i:ig Products, 2316 San Fernando Pond. Los A c g V e s
Ri chrono
uili eg Corco,, Bo:: 10/2, Richtend
;ai-U m :.Cl6
Finch Streets LosAngei-o
Perm to vat tc .uja 0_*rp. ? Box 1072 . Richcnond
3. Re Autton A C.A^ height on .eta/ ,dba Western Fiberglas O . , poly M..
luv Bryant Street, San Francisco Claries Aysrs Co.., 6>o Ilinnosota Street9 Sar. Francisco
Fii srilass E :j,i.nsering t Supply Cc.oi the Kort!n:cot, Inc.-..
h) : '/crtxn.'est Glison Street , Port]a n d . Oregon
Armstrong Goc-t Corps, r.y,Liberty A itarietta Streets,, Lancaster runu.
lu'.dc t
cany, 1537 Thesta,. F:at.:o
Coj-nii,{ I'iocrglas.. ;r-v.u , ot-n 69 Santa Clara
i:.!i ix. ;.r . C ... InsuJttlcns
I.'..e--' : 0 1.v :..ano... ?
6Cv ' r0th An tuxiwf tua Fi arai . vx gl -xe Insul tic n tv., 35 7 -A' :iv
ite Frane..reo
y , : u.t :t: x ".et:r v 1:
, Re ", 15V
1V o U t o ,
L : G
22 5? ' ih:. ' . : ' t.. Gai -, -'3'
Kullen & Filippi, 315 Montgomery Street, San Francisco 94104
!
FT.? A I, 'fjCID; GO
r*T V, A.*-
*,
>
I'i
NC
C? THE STATE OF CALIFORNIA
O fcpG iu 0 SIT j U h s 1 G o r 1; \
July
2
c> i-
O O i.i
p
i?
y
j
JOHN V.TSS
Cast No. 62 OAK 7422
John Wyss, P. 0. Box 913, Clear Lake Highlands, Lake County Smith*Parrish,Paduck & Clancy,315 Financial Center Bldg.Oakland 94612
Mundet Cork Company, 440 Brannan Street, San Francisco
Aetna Casualty & Surety Co.,220 Montgomery Street, San Francisco
Sedgwick,Detert,Moran Arnold,100 Bush Street, San Francisco
Industrial Indemnity Company,350 Sansome Street, San Francisco
Pacific Employers Insurance Co. 244 Pine Street, San Francisco
State Compensation Insurance Fund,525 Colden Gate Avenue, San Francisco
Ocean Accident Sc. Guaranty Inc.Co.Litd.315 Montgomery StreetSan France
Employers Mutual Liafc.Ins.Co.of Wisconsin, 'Box 7047 San Francisco
Firemanffs Fund Insurance Company, 332 Pine Street* San Francisco
Travelers Insurance Co, 1956 Webster Street, Oakland
Argonaut Insurance Co., 550 California Street* San Francisco
U.S. Fidelity & Guaranty. Co., 444 California Street, San Francisco
frophy. 560 S-.tu Pab?.o Avenue, Lfc.iila'i.
-Vf f *> Part ?: ._ 13 ; Sr -,c c Street.* Syr F f-ne ..tco
`Zibec;kPh leg wPl-* ..'iU. 5*. 113 Sutter Str et , San Frar.cisco
n t * De partra ant of Fun Ic
Box 3534/ neon Annex,'an Francisco
PI 4o' Rubo er Sc. A sbostOS V
537 Brannan Street, San Francisco
Cia.y Ci.ties A abes ton Co '> T c / o ViOS ern Asbestos Co* istor-n As bes tos Compari71 675 Townsend Surcct, San Francisco
Standard Asbestos Company* 450 Bryant street, San Francisco
Warren & Bailey Co., 193 Second Street, Sar Francisco
J. T. Thorpe & Son Inc.. 1351 Ocean Avenue Emery vi lit;
Plant Asbestos Company, 1300 - 64th Street* Emeryville
E. B. Badger Si Sons Co..ipanys75 Pitts Street Boston.Massachusetts
Harry A. Dutton, Jr,Duitton Asbestos Co.532 Natcma StreetSan Francisco
Van Arsdale Harris Lumbar Co.,Inc,5th & Brannan Streets,San Francisco
Coast Insulating Producta, 2316 San Fernando Road, Los Angeles
Richmond Shipbuilding Corp. Box 1072, Richmond
Western Precipitation, 1016 W. Ninth Streei LosAngeles
Permanent Metals Corp., Box 1072, Richmond Dutton k C.ALeighton,etal,dba Western Fiberglasa Supply TUv-tU-cH. c,
739 Bryant Street, San Francisco
Charles Ayers Co. 69& Minnesota Street, San Francisco
Fiberglass Engineering & Supply Coof the Northwest* Inc,
416 Northwest Glison Street, Portland j, Oregon
Armstrong Cork Company,Liberty k Charlotte Strests* Lancaster, Penn.
Mu.lc.oon Company- 1537 Thasta* Fresno
0*er.s Corning Fiberglass Corp,, Box S9 Santa Clara
Dan Caw dba Caw Insulations* 3600 - 20th Avenue, Sen Francisco^
Thomas C Douglass, J r e* dba Douglass Insulation Co. 337 IrwirM Street
San Francisco
Armstrong Contracting &. Supply Co, Eo>: 154u\, Lancaster, Penn,
Harold Lorentasn* 2257 Market Street, Oakland
EFORE TIFS 0S`-...Ab 'OC CDEM T CC UI3SI0N OE THE STATE OF CALIFORNIA c l u>: n o , n-' :a :; v /'a
i
A LT.
.U
&pt en b 30 c. i *196 5
0 :((
!ali
Pci.!C.I' .
July 2obhtl J6'3
j o i :n v j y s o - Casi Ne. 62 O.'.K 7422
John Wyss, P. 0. Box 913 Clear Lake Highlands, Lake County
Smith* Parrish,Paduck & Clancy,315 Financial Center Bldg.,Oakland 94612
Mundet Cork Company, 440 Brannan Street San Francisco
Aetna Casualty & Surety Co.,220 Montgomery Street, San Francisco
Sedgwick,Detert,Moran L Arnold,100 Bush Streets San Francisco
Industrial Indemnity Company,350 San some Street, San Francisco
Pacific Employers Insurance Co, 244 Pine Street, San Francisco
State Compensation Insurance Fund,325 Golden Gate A\enue, San Francisco
Ocean Accident & Guaranty Inc.Co.,Litd315 Montgomery Street,San Francisco
Employers Mutual Li ab.Ins.Co.of Wisconsin, Box 7647 Sen Francisco
Firenar.^s Fund Insurance Company, 332 Pine Street, San Francisco
Travelers Argonaut
Insurance Co,. insurance Uo<
t
150956r;-raWise.bxsotremra
Street, otre el
Oakland ban Kranoisc<"<
)
U 0S 0 Fidelity & Guaranty Co. 9
California Street, b a n t nc i SCO
Hanna Sc Brophy, 1540 San Pablo Avenue. Oakland
Taylor &. Porter, 233 Sansome Street, San Francisco
BrobeckpPhleger & Harrison, 111 Sutter Street, San Franc-,is co
State Department of Employment, Box ?534j>P-incou Annex. San Francisco
Plant Rubber & Asbestos Vorks 537 Brannan Street, San Francisco
Bay Cities Asbestos Co., Ltd., c/o Western Asbestos Co.
Western Asbestos Company, 675 Townsend Street, San Francisco
Standard Asbestos Company^ 450 Bryant Street, San Francisco
Warren & Bailey Co., 196 Second Street, San Francisco
J. T. Thorpe & Soi;, Inc.,. 1351 Ocean Avenue, Emeryville
Plant Asbestos Company, 1300 - 64th Street, Emeryville
E. B. Badger &. S o n s Company,7$ Pitts Street,Boston,Massachusetts
Harry A. Dutton, Jr.,Dutton A.bestes Co. ,532 Natoma Street,San Francisco
Van rsdale Harris Lumber Co.,Inc. ,5th &. Brannan Streets,San Francisco
Coast Insulating Products;, 2316 San Fernando Road, Los Angeles
Richmond Shipbuilding Corp. Bex 1072 Richmond
Western Precipitation, 1016 V/. Ninth Street, LosAngeles
Permanent Metals Corp., Box 1072, Richmond
G. R. Dutton k C.A.Leighton,etal,dba Western Fiberglass Supply Ltd...
739 Bryant Street, San Francisco
Charles Ayers Co., 696 Minnesota Street, San Francisco
Fiberglass Engineering & Supply Co.of the Northwest, Inc,
416 Northwest Glison S t r e e t , Portland, Oregon
Armstrong Cork Company,Liberty &. Charlotte Streets, Lancaster, Penn
Kuldoon Company, 1537 Thesta, Fresno
Owens Corning Fiberglass Corp., Box. 59, -Santa Clara
Dan Caw dfea Caw Insulations 3600 20th Avenue, San Francisco
Thomas C Douglass Jr, dba Douglass Insulation Ce,337 Irwin Street
San Francisco
v^Armstrong Contracting &.,,5apply Co.. Box I546.. .Lancaster., Penn.
Harold G. noreht'z6snT"1l257 farlcit Street, Oakland"
IN D U S T R IA L A C C ID E N T CO M M ISSIO N
STATE OF CALIFO RN IA
JOHN WYSS
__
'
1
' 1j
P> \.'
Applicant.. )
vs.
/
MUNDET CORK COMPANY and AETNA CASUALTY & SURETY COMPANY, #t tl
*U .h. DEC 3 19 N otice of H earing
c *s<n o ..,, A 2J 3 J 2
Defendant^.
You arc hereby notified that an application for cocnpeaaation (a copy of which it attached hereto) haa been filed with the Industrial Accident Commission o f the State of California. You are further notified that said application haa been set for hearing at
December l8 th ,1 9 6 2
3000 STATE BUILDING 1111 JACKSON STREET OAKLAND, CALIFORNIA
9 : 0 0 A. H. (ALL DAY)
Before Huff
and that at said ewn* and place the Industrial Accident Ceramiasicn of the State of California will proceed ta hear and ditpoet o f the said epplicatioa in the manner prescribed by lew.
Nonrsi Tb penfas i n sa y csud M w W A sK fama la n s i w i a i ; far far ls ft tfa> k w la jt tfarsfors, aH aswin ury e i'n -- i, rrifaa*% fa c e a w a , M &al nyena, fsT n lli, t a i char o w r id f t wot-- > fa m iU U i n i n d f far n f a i a f a M tfa f a r i a f
Dated: OAKLAND, CALIFORNIA
INDUSTRIAL ACCIDENT COMMISSION By Assistant ScrtUry
The undersigned certifiee that as an employee o f the Industrial Accident Corramadon she served the foregoing sock on the parties hereinafter mentioned, at the time set opposite their rasoactiTS names, by depositing a copy o f said notice attached to a copy of the application therein mentioned, in a sealed enrelope in the United States mail on said day, at Oakland, r JiKf~rniml -with the postage thcreoa fully prepaid, and addressed to the said parties tt their last known places of business or residence, at foCowa, to wit:
NAME AND ADD1U13 OF K X S O X i SOLVED:
DATE
ALL PARTIES LISTED IN ATTACHED APPLICATION
BEFORE THE INDUSTRIAL ACCIDENT COMMISSION
OF THE STATE OF CALIFORNIA
c * * N o . 62 0AK 7h22
ay.
r-TTTNbF1 Cf.RK CCM-AKY ar.J
AETNA CASUALTY AND SURET:
A pplied y
/
G OK-ANY, etal
rder J !nins Party
Defendant
Defendants
Good Ccv.se Appearing Therefor, IT IS HEREBY ORDERED T h a t
A L L PARTIES L I S T E D IN A T T A C H E D A P P L I C A T I O N
be joined is a party defendant in the above entitled cause.
R t f tret G l u e y >. . / ;U f INDUSTRIAL ACCIDENT COMMISSION
ATLANTA BALTIMORE CHICAGO CLARKSBURG LOS ANGELES MIAMI
MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA
IN C O R P O R A TED
insurance
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE, MD. 21218
February 25th, 1964
TELEPHONE TUXEDO SM304
CABLE ADDRESS "ALEXBLUE"
s
Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Gentlemen:-
f\
V re: Joan Wyss: (B9850928 & B 9850941)
teve Gilivich: (B 9850942 and B 9850927)
WORKMEN'S COMPENSATION___________
We have received a status report in connection with the two captioned cases from the Travelers Insurance Company and enclose herewith two copies of their letter of February 18th, 1964, which will be found self explanatory.
It would appear that the Steve Gilivich case is about ready to be closed out. We will advise you when we have a final closing report from the Travelers.
c t -
a. y ` 2
--
Sincerely
ALEXANDER & ALEXANDER, INC.
G. H. Finlay GENERAL ADJUSTER R
Before the Industrial Accident Commission of tkc State of California
O w N o_62_0AK_2^22
JOHN WYSS
Applicant
rx
KUNDST CORK COMPANY, &r,d AETNA CASUALTY & SURETY COMPANY, f?t e l
ORDER TAK ING OFF CALENDAR
Drft&kuJ Iir
Inasm uch an t h s a p p l i c a n t ' s p le a d i n g wap n o t p r o p e r a::d t h e c a s e was not ready fo r p resen ta tio n , GOOD CAUSE A P ?r.'~ JX G T H n r r ~OK:
I t Is H ereby O rberei*T en t the above entitled m atter U and the u x j hereby is taken off calendar, and all further action on the matter* now pending herein suspended, subject to being icsct, after notice, upon request of any of the p arti hereto.
OLH: t y (SEAL)
DATE F ILEI1 f c ' SEATED ON ALL PARTUS AS SMOWSf OK ATTACKED L IST: 1 2 - 2 0 - 6 ? (tyi
JOHN WYSS - Case No. 62 OAK 7422 - ORDER TAKING OFF CALENDAR
John Wyss, 507 Capp Street, San Francisco, Calif* Smith, Parrish, Paduck & Clancy, 315 Financial Center Building,
Oakland 12, Calif. Munde6 Cork Company, 440 Brannan Street, San Francisco, Calif. Aetna Casualty & Surety Co., 220 Montgomery St., San Francisco, Calif. Sedgwick, Detert, Moran & Arnold, 100 Bush St., San Francisco, Calif. Industrial Indemnity Company, 300 Grand Ave., Oakland 10, Calif. Pacific Employers Insurance Co., 244 Pine St., San Francisco, Calif. State Compensation Insurance Fund, 525 Golden Gate Ave.,
San Francisco, Calif. Ocean Accident & Guaranty, 315 Montgomery St., San Francisco, Calif. Employers Mutual Liability Insurance Company of Wisconsin,
114 Sansome St., San Francisco, Calif. Hardware Mutual Casualty Co., 20 Battery St,, San Francisco, Calif. Travelers Insurance Co., 1956 Webster St., Oakland, Calif. Argonaut Insurance Co., 550 California St., SannFrancisco, Calif. U. S. Fidelity & Guaranty Co., 444 California St., San Francisco, Calif. Hanna and Brophy, 1540 San Pablo Ave., Oakland 12, Calif. Brobeck, Phleger & Harrison, 111 Sutter St., San Francisco, Calif. State Department of Employment, P. 0. Box 3534, Rincon Annex,
San Francisco 19, Calif. Coen Company, 915 Bryant Street, San Francisco, Calif. Mundet Cork Corp., 7101 Tonnelle'Ave., North Bergen, New Jersey Plant Rubber & Asbestos Works, 537 Brannan St., San Francisco, Calif Plant Rubber & Asbestos Works, 1300 - 64th St., Emeryville, tialif Bay Cities Asbestos Co., Ltd., c/o Western Asbestos Company,
675 Townsend St., San Francisco 3* Calif. Western Asbestos Company, 675 Townsend St., San Francisco 3 Calif. Western Asbestos Company, P. 0. Box 3784, Rincon Annex, San Francisco J. T. Thorpe & Son, Inc., 1351 Ocean Ave., Emeryville, Calif. Plant Asbestos Company, 1300 - 64th St.,Emeryville 8, Calif. E. B. Badger & Sons Company, 75 Pitts St,, Boston, Massachusetts Harry A. Dutton, Jr., Dutton Asbestos Co., 532 Natoma Street,
.San Francisco, Calif.
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Oakland 12, Calif.
fumdefi cork Company, 440 Brannan Street, San Francisco, Calif.
Aetna Casualty it Surety Co., 220 Montgomery St., San Francisco, Calif. Sedgwick, Detert, Moran & Arnold, 100 Bush St, San Francisco, Calif. industrial Indemnity Company, 300 Grand Ave., Oakland 10, Calif. Pacific Employers Insurance Co., 244 Pine St., San Francisco, Calif. State Compensation Insurance Fund, 525 Golden Gate Ave.,
San Francisco, Calif.
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Brobeek, Fhleger & Harrison, 111 Sutter St., San Francisco, Calif. State Department of Employment, F. 0. Box 3534, Rincon Annex,
San Francisco 19, Calif. Coen Company, 915 Bryant Street, San Francisco, Calif. Mundet Cork Corp., 7101 Tonnelle Ave., North Bergen, hew Jersey Plant Rubber & Asbestos Works, 537 Brannon st., San Francisco, Calif Plait Rubber & Asbestos Works, 1300 - 64th St., Emeryville, allf Bay Cities Asbestos Co., Ltd., c/o Western Asbestos Company,
675 Townsend St., San Francisco 3* Calif. Western Asbestos Company, 675 Townsend St., Jan Francisco 3# Calif. Western Asbestos Company, P. 0. Box 3734, Rincon Annex, Jan Francisco J. T. Thorpe & Jon, Inc., 1351 Ocean Ave., Emeryville, Calif* Plant Asbestos Company, 1300 - 64th St,Emeryville 8, Calif. E. . Badger & Sons Company, 75 Pitts St., Boston, Massachusetts Harry A. Dutton, Jr., Dutton Asbestos Co., 532 Natcma street,
San Franolsco, Calif.
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BALTIMORE
NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA
Alexander <&Alexa^ aj>ikk
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE 18, MD.
September 11th, 1962
TELEPHONE TUXEDO 9-4304
BELL SYSTEM TELETYPE BA 582
CABLE AODRESS "ALEXBLUE"
Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
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Dear Mr. Hofferth:
,
J?/j?/ /-~Y
John(Wyss, Applicant
v. Mundet^Cork Company and Aetna
Casualty and Surety Company_____
Supplementing our letter of August 31st acknow ledging receipt of papers in connection with the above case,
we have now received a letter from the Oakland, California
Office of the Travelers dated September 6th, 1962, which reads
as follows?
''This is to acknowledge receipt of the Petition to Join Further Parties in the case of Armstrong Cork Company; and Armstrong Contracting and Supply Corporation regarding Mr. John Wyss. We are now establishing files on these claims and will proceed to protect your insured interests."
The above is for your information and file.
Sincerely
ALEXANDER & ALEXANDER, INC.
rr~.
GENERAL ADJUSTER
R
BALTIMORE NEW YORK CURKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA
Alexander &Alexander
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE 18, MD.
August 31st, 1962
M Jr
TELEPHONE TUXEDO 9-4304
BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS
"ALEX8LUE"
, 'V
Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company
C Lancaster, Pennsylvania
Dear Mr. Hofferth: John Wyss, Applicant v. Mundet Cork Company and Aetna Casualty & Surety Company_____
We acknowledge your letter of August 29th, 1962, enclosing Petition to Join Further Parties naming Armstrong Cork and Armstrong Contracting & Supply Corporation in connection with the above.
We have forwarded the papers to the Oakland, California Office of the Travelers Insurance Company for necessary handling.
Sincerely
ALEXANDER & ALEXANDER, INC.
GENERAL ADJUSTER
R
August 29, 1962
Mr. G. H. Finlay Alexander & Alexander, Inc. 2225 N. Charles Street
Baltimore l8, Maryland
V/ Dear Mr. Finlay:
Si&ject:
John Wysa, Applicant v ''' Mundet Cork C om pany and A e tn a Casualty and Surety Company, Defendants
The enclosed Petition to Join Further Parties names Armstrong Cork Company and Armstrong Contracting and Supply Corporation as addi tional defendants in Claim No. 62 OAK 7^22 to he heard before the Industrial Accident Comaission of the State of California. Please refer this Petition to the appropriate office of Tbe Travelers for handling and protection of both companies* interests.
Very truly yours,
Enclosures MEB
Wallace B. Hofferth Assistant General Manager Insurance Department
this j o a
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