Document 9LrVkn9ga4RO8X7B3zXo2db73
FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1954 DOC#: IWC014 DOCUMENT DESCRIPTION: Claimant - Campbell, Edward
Barry I. Castleman E N V IR O N M E N T A L CO N SU LT A N T / 1738 Riggs Place orth West, Washington, D.C^-20009/202 - 387 7595
Newly-Released Armstrong Casef^Eward (mptfell One of the
^ 0/5 5 /1 6 0 0 0 was paid:
Scovill Hartford
$ A&I
250
US Fid Guar 250
Gen Acc Grp 250
Lib Mut
250
Glens Falls 250
New Amsterd,
Aetna
Travelers
Stop. Liab.
Std. Aoc,
Roy. Indem.
Utica Mut. 250
The claim was Commission on
Thp case was $$-2^318
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He could not
t _ TTnTirn*P*P ovei* the phone \203 D j *
I n f f " t h f s S ^ a g r e e m e n t , but suggested I write to the boss,
Commissioner A.P. Burte _
W orkm en's C om p e n sation C om m ission
99 Pratt St.
Hartford, Conn. 06103
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he was authorized to tell
mTwhat^fhJd!1" SrncalShe9cSie?Sd see what he says.
Jtuly 27, 1978
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wUKKi^N'o COMPuNuATlUN COh m ICGION OF CONNECTICUT
NOTICE. OF h e a r i n g
ed w ard C a m p b e ll, c /o Norm an Z o l o t ,
2u07 . h i t u e y a v a . , H" " " 1'n a ^
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scovili iAanufa ecu ring Co. f! 0. box 1820, waterbury* U>nn. L919 - 192 - belf-Insured
'obert a . Keasby 139 -149 >( 19tn jt _ No uecord
New York, N . Y
I nartforu Acciaent, &.
Co
- Hartford Acciaent <* luaemnity Co
15 Lewis St., Hartfora, Conn.
.lestchester Asoestos oo.
mlite Plains,
York
1930 - 1931 - No ne co ra
Office of Compensation Commissioner First Congressional Uistric
iiDartynfanuCharlotte at. .incantar.H.nnn.
- otanaard n
Acciaent
ir
Insuitrance
Co.
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111 west wain at., waterbury, Conn,
soestos bistrioutors corp.
13 nasi Washington avo ., uria.- e>>ort, o Travelers Insurance Co.
193q - 193^1 -nsbest.33 uisbriDutorsU'oitcliester,'*.* ) fravolers
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' 1935 - 193o| c a n e .o/9/33
1930 - 1937 19o7 - 1938 193 - 193v 1939 - 19aU c a n e .3/3/39
1939 - 1940 1940 - 1941 1941 - 1944
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U.j.Vioelity * Guaranty (
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2/+2 Yrurnbull
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GeneralAcciUttiit *ire * l*i'
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500 whalley nve.,'NewHaven,
1942 - i943| 1940 - 1944 194u - 1943
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l.unaet GorK Goiupany
/xOl 'ionnelle A v e , *<o. oergen,/
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_ Atuia Casualty anu ouruLy to. ill rearl ^t,. Hartfoiu, uonr'.
Insulation Company
674 Oakwood Ave., West Hartford,Ct*
1937 - 193 - Liberty Mutual Insurance Co*
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canc.6/l4/4v
63 East Center St, Manchester, Ct.
1940 - 194 - Glens Falls Insurance Co* 141 Washington St ., Hartford,
1941 - 194| 1942 - 194
1943 - 1944 1944 - 194: 1945 - 194q 1946 - 194 1947 - 1944 1948 - 194* 1949 - 195V
cane*6/12/50
New Amsterdam 1Casualty Co.
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153 Milk St., Boston, Mass*
1946 - 194 1947 - 1948
Aetna Casualty and Surety Co.
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111 Pearl St., Hartford, Conn
1950 1951 1952 1953
195 195
195 195ft-
Travelers Insurance Co.
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163 Asylum St., Hartford, Ct.
Rhode Island Covering Co* 357 South Main St., Providence, R.I* 1943 194, - Employers' Liability Assurance Corp* 1944 - 194) 132 Temple St., New Haven, Conn,
A. W. Bancroft
63 West St., Reading, Mass.
1944
- 194)
- Royal tt
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1947 - 194*
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canc.7/26/4)
195 Church St., New Haven, Ct.
1949 - 1953 - Utica Mutual 955 Asylum St., Hartford, Ct.
Homestead Insulation Co. 45 Granby St., Hartford, Conn.
195C - Aetna Casualty and Surety Co. Ill Pearl ot., Hartford, Conn.
1980
Universal Insulation Co. 614 Schuykil Ave., Philadelphia,Penna. 19 '1 - h13m2plToeymeprlse' SLti.a,bilNietwyHaAvsesnu,ranCcoenn.Corp.
1923 192o
1927
v v jiu io r u in V 1 6 ''O r p 22 oast 4Uth ot., ev; York, n.Y.
- btanaard nccient Insurance Co
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111 eso nain ot., ateroury, Conn.
Johns kianville Inc. of wass.
1927 - 192b[j - employers Liability Assurance Corp. 132 eiaple ot. , iiew haven, Conn.
Johns nanville Corp,
22 uast 40th b t . , New York,iM.Y.
1931 - 193 2| - b t a n d a r a A c c i d e n t I n s u r a n c e Co
1932 - 193: _ n
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1933 - 193 ' 111 *est n a i n at., wateroury, Conn.
Johns toanville Corp., Nashua, new Hampshire 1933 . 193^41 -- standard ncciaent Insurance Co.
Ill west nain bt., waterbury, Conn.
1934 193
1935 -- Employers Liability Assuiance Corp.
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1937 1934 -
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132 Temple bt., New Haven, Conn.
-
1939 1937 1940
1941 1942
'"`1943
Johns Manville Corp.
22 Last 40th bt., hew York, N.
194dl _ Employers Liability Assurance
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1944 -
Y. Corp.
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1950 1951
Richmond Asbestos Co., Inc. 54-1 43rd bt., Maspeth, L.I., N.i. 1951 - Hartford Accident & Indemnity Co. 1952
Respondents
You and each of you are hereby notified that the above-entitle . w i n he heard with reference to the following questions by
Re i INFORMAL CQNifcR&NCE -- AobEoTOSIS
Notice Issued: September 29, 1955 LEO J. NOONAN Commissioner
Acknowledge receipt of this notice at once
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P03TPO1EK&HT OF HiARIiftl
l
Dt* when a ile d ..Jm1t .JLiJ19.55.
Edward Campbell foodtick Road, Waterbury Conn*
c/o Karman Lolofc, Esq 2607 Whitney Avo Hamden Conn
1955 van
Claimant V
Johns Manville 22 East 40th St Kew York,Hew York ({forked for six years In Conn)
Ho^f^ $ AAlSfV 139 West 19th St,Hdw York,Kew York (forked ebout Your years In Conn)
Armstrong Cork Company Lancaster Pennsylvania (Worked on and off for three years
mostly in Conn)
Memostead Insulation Co 45 Granby St Hartford Conn (forked about a year around Conn)
Insulation Company 674 Oakwood Avenue West Hartford Connecticut (Worked about a year around
Conn)
Scofill Manufacturing Co P. 0 Bex 1620. Waterbury, Conn (forked a couple of years on
asbestos installation)
Eospondonta
Office of Compensation Commissioner First Congressional Di starlet
Hotlce is hereby given that the hearing in the above entitled matter notice whereof has been previously given is hereby postponed until the 16th day of July, 1955 at Boom 606, 54 Chureh Street, Hartford, Connecticut at IOiOO A.M
LEO J. HOOKAH Commissioner
Acknowledge receipt of thle notice at once
;jtg COMPENSATION CGUUI3SI0N Ol1 CONNECTICUT WORKMEN13
ilO'i'xGE OE HEARING
Edward Campbell
Woodtick Road
_
Waterbury, Connecticut;
c/o Mrs. Read
Office of Compensation Commissioner First Congressional Distnot
vs o
Johns Manville
22 East 40th Street
New York, New York
_
(Worked for six years m
Conn,
Robert A. Keasby 139 West 19th Street New York 11, New York (Worked about four years in Conn.)
Keasby Sc Madison
225 Broadway
New York, New York
and in Albany, New York)
(Worked a couple of years in Conn.
Lotz Asbestos Company Hartfora, Conn. (Worked about tliree years in Conn)
Armstrong Cork Company twS?kedSon a n ^ o f f ^ o r three years mostly in Conn.}
Asbestos Distributors 113 East Washington Avenue Bridgeport, Conn. (Worked four or five years in Conn.)
Homestead Insulation Co., 45 Granby Street Hartford, Conn. (Worked about a year around Conn.)
Insulation Company 674 Oakwood Avenue West Hartford, Conn. (Worked about a year around Conn.)
Scovill Manufacturing Co*
P.0. Box 1820 ^
Waterbury (V/orked a
ul, Conn. couple of
years
on
asbestos
installation)
You and each of yu.are/ e^ h yreferenct t^th^following
entitled matter will be.
office, Room 608, No. 54
ChurchStreet^Hartford^gConn. on the'31st day of January, 1955
at 10:30 A.M.
In re; Informal Conference - Asbestois
Notice issued Dec. 16, 1954 Kindly acknowledge receipt or this notice at once.
LEO J. NOONAN Commissioner
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COMPENSATION ANO LIABILITY DEPARTMENT
CHAMES J. H A U ! , s f ld vie trm Um t
,'Jr<w*&rJ.Xm m m /t pmjutny M
WIUJAM S. CARTER, AuUlont Seflary JAMES L GRANT, Ailitonl SerlofY
IRVING H. SCHLESINGER, Awlitant Seitory RAYMOND V. ALGER, AtiUlonl Serlanr LLOYD W. DENISON, Aulilanl Scrtary PAUL E. RERGLUND, Am Ii IohI Setlory
October 11, 1955
Armstrong Cork Company Lancaster Pennsylvania
Attention Ms. Mabel E Barnet Insurance Department
Gentlemen:
Edward Campbell Informal Conference -- Asbestosis
We wish to acknowledge receipt of your letter of October 5, 1955, together
with the attached photostat of Notice of Hearing to be held November 7, 1955
on the subject matter, for which we thank you.
Very truly yours
RETlPHK
\TT. Tinti, Assistant Underwriter
H O M E OFFICE:
70 0 M A I N S T R E E T , H A R T F O R D 15, C O N N E C T I C U T
o. M f f R f i V , J R Chmtrm^n of h* 8ofd
R H P L A T T S . Pf**dn
F S R O W N .V ic t Pra 4 $crtry
L K. K^RK. Vic Pr A Turr j P H A C K E R . Vic Prt*int
E. A. WAR NICA. Vic Pr**d#nl
P E LAVM ON . Vic President nd Cenerei Counsel H A W H ITE, Vice Preeident
Standard Accident Insurance Com pany INCOILO
CASUALTY INSURANCE
FIDELITY AND SU R E T Y B O N O S
Claim D epa r t m e n t
C O N R A D A. R U SS E L L . CLAIM RSFRSSSWTATWS 95 S T A T E S T R E E T
SPRINGFIELD 3. MASS. TSLSRHOMS S -M SS
October 4, 1955
\tx*i ~
Armstrong Cork Company
Lancaster
/
Pennsylvania
- .... \ Re: Edward Campbell - Employee
` Attention: Employment Department
Gentlemen:
a serious claim is being brought by one Edward Campbell who alleges th*t he contracted and is suffering from the disease
s s s a,,;f
&{*-
and the period for which we covered your company:
POLICY HO.
PERIOD
AZ 269553
AZ 269^67 AZ 312485
AZ 33505*+ AZ 335055 AZ LUL4o4 AZ 463900 Az **79088 AZ 537963 AZ 55*+7?6 AZ 5c72**7 AZ 574904
Also
1/1/31 1/1/32 -
1/1/33 1/1/3** 1/1/3** 1 1/39 1/lA o 1/iA i 1/1A2 -
1/1 A3 1/1/**** -
1/1A5 -
1/1/32 1/1/33
1/1/34 1/1/35 1/1/35 1/1A0
1/1A 1
1/1/42
1/1A3
1/1/44
I/I/45
1/1/46
g~*SsRr`H^H'r*ErHs dSr'ne the'oe oerlid/ we should have the dates of hie employment
yur
employ.
will you kindly give this matter your immediate attention as we
must have it by the time the nerrng Is called.
.
Yours very truly,
CAR:
Planet Inaurano Company. Detroit
riv1 Q ({J
Standard Accident Insurance Company Detroit
y,A r ^ t L
Pilot Insurance Company i.
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October 5; 1953
State of Connecticut Room 60$ 51 Church Street Hartford, Connecticut
Gentlemen
Attention
Mr. Leo J Boonan, Compensation Commissioner
Sub;sot Sdvard Campbell Informal Conference - Asbestosis
Ve acknowledge lotlce of Hearing dated September 29; 1955;
advising Serember
,that a hearing will be
7 1955; at 10t30 A.M.
held
in
your
office
on
ery truly yours#
ARMSTRONG COI* COM?AHX
Mabel X Barnet Insurance Department
S
October 5, 1955
Travelers Insurance Company 700 Main Street Hartford 15, Connecticut
Oentlemens
Suojecti Edvard Csapbell Informal Conference - Asbestoils
Ve attach photostat of lotlce of Hearing to be held Xovcmber 7, 1955 on the subject setter* Ve have acknowledged receipt of this notice
ery truly yours,
ARMSTRONG CORK COMPANY
B
Enclosure
Mabel E* Barnet Insurance Department
cot Alexander A Alexander, Inc. 2221 X. Charles Street Baltimore IS, Md
October A 1955
Nr* D. V* Barlow Standard Accident InsuranceCoKpany 470 Atlantic Avenue Boston 10, Massachusetts
Dear Sirs
Subjects
Suspense File 25904 Assureds Armstrong Coxk Company Injured! Edvard Campbell
V# attach photostat of Sot ice of Bearing to be held Xorenber 7, 1955 on the subject matter* Ve have acknowledged receipt of thi notice*
try truly yours,
ARMSTRONG CORK COM?AST
M s d c I E* Barnet Incur anoeDep&rtment
Enclosure
ect Standard Aocldent InsuranceCo* Detroit, Michigan
T . L* P. Shriver Agency
1801 Union Bonk Building Pittsburgh 22, Pa*
wOKAi-iaN'j OMPENJATJLUN COmlOblO OF CONNECTICUT
'
NOTICa OF HEARING
Edward Campbell, c/o Norman Zolot, Esq. Z07 Whitney Ave., Hamaen, Conn.
Claimant
vs.
Insulation Company
674 Oakwood Avo., West Hartford,Ct.
1937 - 1 9 3 - Liberty Mutual Insurance Co*
n
R
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1936 - 193<
1939 - 19W canc*6/14/4<
i*
63 East Center St., Manchester, Ct*
; 1940 - 194:
1941 - 194; , 1942 - 194:
1943 - 194 , 1944 - 194
1945 - 194 . 1946 * 194
1947 - 194 1948 - 194< 1949 - 195< cane*6/12/50
Glens Falls Insurance Co* 141 Washington St., Hartford, Ct*
New
n n n it n it n it
153
Amsterdam
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Milk St.,
.t Casualty R It ''> . ' V
Co*
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Boston, Mass*
1946 1947 -
194' 194
^
Aet1na
Casualty'and
n
n
Surety n
Co* n
111 Pearl St., Hartford, Conn.
1950 -
1951 1952 1953 -
195 .
195 : 195 195- >
Travelers Insurance Co*
it
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163 Asylum St., Hartford, Ct*
1943
Rhode Island Covering Co*
357 South Main St*, Providence, R*I* 194Y - Employers' Liability Assurance Corp*
1944 - 194 I32 Temple St., New Haven, Conn*
A. W* Bancroft
63 West St., Reading, Mass*
1944 - 19*
1945 - 19* 1946 - 19*
1947 - 19* 1948 - 19/ cane*7/26/*
Royal Indemnity
ft
R
R
R
R
R
R
R
R
R
195 Church St .,
Co* .
R R R R R
New Haven
1949 - 19
Utica Mutual 955 Asylum St., Hartford, Ct*
195<
Homestead Insulation Co* 45 Granby St., Hartford, Conn. - Aetna Casualty and Surety Co.
Ill Pearl St., Hartford, Conn.
I960
- 19:
Universal Insulation Co* 614 Schutfcil Ave., Philaaelphia,Penna.
- employers1 Liability Assurance Corp
132 Temple St., Hew Haven, Conn.
vl922 1925 1926
1923 192o 1927
wwiiiio rtauiue uorp
22 aast 40th bt., Aew York, u.Y.
- btanaard ncciaent Insurance Co.
-
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111 est iuain ot., aaterbury, Conn.
1927
Johns Manville Inc. of Kass. "* Employers Liability Assurance Corp*
132 ieiaple bt. , rfew Haven, Conn.
1931 1932 1933
1933
Johns wanville Corp.,
22 .ast 40th bt., New York,.Y.
- btandard Accident Insurance Co.
-
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111 west i`iain at., wateroury, Conn.
Johns Manville Corp., Nashua, wew Hampshire - btandard Accident Insurai ce Co.
Ill west inain St., waterbury, Conn.
1934
- Employers Liability Assurance Corp.
1936
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1937
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132 Temple bt., New Haven, Conn.
1939 1937 .1940
1941 1942 -1943
Johns Manville Corp.
22 East 40th bt*, Hew York, N.
194C - Employers Liability Assurance
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1950 1951
Richmond Asbestos Co., Inc.
54-18 43rd bt., Maspeth, L.I., N.Y.
- Hartford Accident & Indemnity Co.
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Respondents
You and each of you are hereby notified that the above-entitle d matter will be heard with reference to the following questions by the undersigned at his office, Hoorn 608, No. 54 Church btreet, Hartford, Conn., on the 7th day of November 1955 at 10:30 A.M. Re: INFORMAL CONFERENCE - Ap BESTOSIS
Notice Issued: September 29, 1955
LEO J. NOONAN Commissioner
Acknowledge receipt of this notice at once
Iw
0 M FERRY JR.C *no<thBoard
V
/Tei
L K KIRK President
Standard A ccid en t IiiHurance Com pany c o a >oa i ' ( j i *
CASUALTY IN S U R A N C E FIDELITY AND S U R E T Y B O N O S
IN RfcPLY REFER TO
Casualty Claim DEPARTMENT
D etroit 32
Armstrong Cork Company Lancaster, Pennsylvania
August 10, 1955
Attn: Mr. R. C. Schledt, Jr. Insurance Departcmt
Gentlemen:
1IIG 1 5 1955 'ttLtl
Re: Suspense File 2390L Assured: Armstrong Cork Company
.
Claimant Edward Campbell
This will acknowledge your letter of August b, 1955> advising us that the
hearing scheduled for August 16, 1955 has been postponed until September 25,
1955.
As we did with the previous correspondence on this claim, we have referred it to our Boston Office for their handling.
Yours very truly,
CC: V. L. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22, Penna.
Planet Insurance Company Detroit
Standard Accident Insurance Company Detroit
Pilot Insurance Company, Toronto
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POdTPGM&M&iT OF HSAiOMG
Data whan Ballad
Idward Canpball Woodtick Road Waterbary, Goan*
t/o Moraaa 2olot, &aq* 2607 Whitney Are*, Haaden,
Coon*
August It 1955
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Standard A ccid en t In su ran ce Com pany
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R u u m w o wunrwwAXAu* wtvuaoum or uuasaeTJLWT
POSTPONEMENT OP HEARING
Date whan aailad
Ju ^t 7.
Adward Caapbell Woodtick Road, Waterbury, Conn*
o/o No a n Zolot, Eaq. 2607 Whitney A w . , Hamden, Conn
ClaInant
Johns Hanvilla
?2 Kaat 40th St., Hew lork, Haw York
(orked for. sixr paart in Conn.)
Bokart A. Ksasby
139 boat l9tk St., Vow lork, Kao lork (Workad about four years la Coon.)
Armstrong Cork Company
Lancaster, Pennsylvania
{Worked oa aad off tor thraa years
oatly la Conn.)
1
Office of Compensation Coaalsslonar First Congressional District
Boaoatoad Zoaulatlon Co. 45 Granby St., Hartford, Conn. (Worked about a pear around Ceaa.)
Insulation Company f74 Oakiood Avaoua, boat Hartford,Cona. (hoiked about a paar around COHN.)
ScoTill Manufaeturlng Co.
? *
1*20, haterbury, Conn.
(aorkad a couple of yaara oa
aabastoa installation)
Respondents
Hotloo la hereby given that tha hearing la the above eatitled natter, aotlea whereof has bean prarioualy given, la hereby postponed until tha
16th day of August, 1955 at Boon 60S, 54 Church Strest, Hartford, Connecticut, at 10130 A.M.
J. 0RS00RT LYNCH ACTING COMMISSIONER
Acknowledge Receipt of This Notice at Once
6 mlri b u n m a t Cmpmqt Bartfirad O o m M ttl
talj, 19#
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fallad to rapori tararal ti Itor vote da* to "altoaaa,* and agpli y t t
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Oar 1952 vaoazda larilaata va 9 X0 7*4 hla la Coaoaatiaxt ita a d ily fa*
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lavpSMac Sfera* OaepbdU*
ter retarde battette a bal Sfera* topbeil, pipa m m aplmd latamittartljr txlac 1943 1944 1944 194 4 1952* H a eocial i m ltgr aoeeaat aaabar mi 4*W-0566 Pannila ftr tbe yeare 1943 1944 as4 1944 be*a beat doatxayed 2a 19 4 car reeorde ladlaate be m e etpleyed fina * y 2 ) ta Beptenfoer 1 2 la Kaeeasbaeette teda* da period be fidled to part aeiarci tdaee fia- eexlc daa ta feUkseaa," and eapleyaet aa ftiilly tewdnetad Stptmber 12 dae to "aUtoees*
t o 1952 veada ieAeate ve apleyed hla la toeaetleat eteedUgr fina
Ma tbe dala e f lajazy la et d v a , va are tenradia* a eeygr f tbe baatdai netitoe 9e t o t o r a Xamnaae topaqr la Hartford, ito li tended ear w daw 1 ajMBteiUn l m e te aflea 19SU
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l a y tidy yeiire,
4SW9D10 COK COMPACT
eai Y L P totait l| y
f lt y t o f b 22 fa*
2 0 fo la d i fie
WDKl&JI'fi CQMFWATZO CCKHISSIOI Of CQHHCTICCT
FOSTFOMBHEITC OF HHARZHC
fiat * a aliad ..folg l l19?$,
fiduard Caapbell Wtadtlck Bond, baterbury, Comu O/O Norman Zolot, eq.
2607 Wtitaoy At., fiaadoa, Corni.
JUL 5 1955 WLH
AoS
Fl#,
Abart A. Ktby 119 Wot 19tb fit.,*dv Xerk,Kew Xork (erked about four jrtir la Cena.)
Afutren* Cork Company Lanca.fr, Pennsylvania (Worked on and off for throe years
ootly in Con.)
Xomesfad Insulation Co. Af Qranby fit., Hartfordi Conn (Worked about a yar around Conn.)
Xasulation Company 674 Oakrood Avenue boat Hartford, Connecticut (Worked about a year around Conn.)
fisovili Manufacturing Co. F. 0. Box 1620, batarbury, Conn. (Worked a oouple of year on
aobootea installation)
loapondanta
Hotioo la boroby glvon that the boaria* in tho above ontltlod
attor, notloo obroof bao Won previously *lvn, la boroby
postponed until tbo I6tb day of July, 1955 at Boon 606, 54 Chnreb
fitrot, Hartford, Connecticut, at lOlOO AK*
ISO J. I00HAI flo-- ioaloaor
Acknowledge receipt of this notice at onoo.
Itr
WORKMEN'S COMPENSATION COMMISSION OF CONNECTICUT i
NOTICE OF HEARING
Edward Campbell Woodtic^ Road Waterbury, Connecticut c/o Mrs. Read
Office of Compensation Cornalissioner First Congressional District
vs. Johns Manville 22 East 40th Street New York, New York (Worked for six years in Conn.)
Robert A. Keasby 139 Vieat 19th Street New York 11, New York (Worked about four years in Conn.)
Keasby & Madison"-^.
225 Broadway
'
New York, New York '
(Worked a couple of years in Conn, and in Albany, New York)
Lotz Asbestos Company Hartford, Conn. (Worked about three years in Conn.)
Armstrong Cork Company Lancaster, Pennsylvania (Worked on and off for three years mostly in Conn.)
Asbestos Distributors 113 East Washington Avenue Bridgeport, Conn. (Worked four or five years in Conn.)
Homestead Insulation Co., 45 Granby Street Hartford, Conn. (Worked about a year around Conn.)
Insulation Company 674 Oakwood Avenue West Hartford, Conn. (Worked about a year around Conn.)
Scovill Manufacturing C0 ., P.0. Box 1820 Waterbury 01, Conn. (Worked a couple of years on asbestos installation)
You and eaoh of you are hereby notified that the aboveentitled matter will be heard with reference to the following questions by the undersigned at his office, Room 608, No. 54 Church Street, Hartford, Conn, on the r'31st day of January, 1955 at 10:30 A.M.
In re: Informal Conference - Asbestofeis
Notice issued Dec. 16, 1954 Kindly acknowledge receipt of this notice at once.
LEO J. NOONAN Commissioner
\
JHKHKN'S WPiOtATlOJI C O W U S S I O H OF C O M E C T I C U T NOTICE o k HEARING 1 *
r919 -
|l92i> .1931
/ o07
/ urman Zolot, hitney Ave., Hamden, Conn.
Claimant VS.
Esq*
4
4 ^ . * / % A> ^ ftJf* ^ \o
.T^\ $ -
covili Manufacturing Co.
? ?* 182
(~ 36If-Insured
waterbury,
Conn.
Ut a p p l r * * 0
-- "Davi A WK*fc E. fc.?#>%*'" k 3 .
abert A. Keasby
estcheat3e9r-1A/s.b9esW.tos19tCno. bt., Dew York, N. Y. Office of
1930 - 1931 -<hiNtoe RHelca--oirnHl'dsoIo, RheeHcecoowrrddYork
Compensation Commissioner . First Congressional District
1931 1933 1934 1939 1940
1941 1942
1943 1944 1945
- Hartford Accident & Indemnity Co.
- Hartford Accident cc Indemnity Co. *Arms1t5roLnevg/iCaor5kt,Co.Hartford, Conn* -iberty and Charlotte bt.,Lancaster.Penna.
- otanoard tt n n tt n n n w ti
Accident tt
N
ft tt tt tt tt tt
tt
Insurance I!
It
M
tt
t
tt tt tt tt
Co*
tt
tt tt
n
it
n
tt tt
tt
. f.D
-
*(3W h 'fX
111 Nest Main bt., toaterbury, Conn.
isoestos Distributors Corp.
'
1934 - 193 L13
/ <ashington
drid.-e:jort,Conn.
1933 - 193 , - nsbestoo WstrioutorslPoitehester...) Travelers Insurance Co?
anc.o/^9/3^1
It
.1
-
"
,
"
H j
193o - 193 " 1937 - 193fcJ 193d - 193yj 1939 - 194
^nc.3/3/39
Addestos n "tr it
tt
wis
tribu tt
tor^sminDur^iuhroernotrjti
tCt.
j 1
u . ^ .fidelity
tc
GuHaarrtafnotryd >Cooti
*tt
nt t
" Wallace ^Vh.id w .
tt
tt
tt
tt
tt tt H tt
tt
1939 - 194(
ft
tt
1940 - 1 9 4 1 J
tt
tt
1941 - 194:
tt
tt
tt
^ 242 Trumbull bt..Hartford,C
ft
oeneralAccident hire 4. life
tt
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" , 1 n
tt
942
943 94c
19431 1944 1945
Hsoestos "
uistrioutors it
(Puorritacchneesstteerr,Dn.Y.ti
' ?fwHav n c t Htfa.Hccident&Inaemnity U
.
K
,,
"
"3>av,`d k/m T c
1
"
"
" S Podere
15 Dewis bt.,Hartford,Ct
939 -
`Undet Cork Company
..
^ ;101 ionnelle Ave., Do. Bergen /Jersey
194CS Aetna Casualty anu ourety Co.
__
111 rearl ot., Hartford, Conn.
*
-a
,,
/
Insulation Company
,,
674 Oakwood Ave.,
1937 - 193i " liberty Mutual
193 - 193< -
n
1939 - 194| -
n
tt
cane.6/1 4 / 4
n
tt
West Hartford,Ct.
Insurance Co.
it
ft
tt
tt
n
fl
63 East Center St, Manchester, Ct*
1940 - 194 "
falls Insurance Co.
.. f+fcevAi
141 Washington St., Hartford, Ct.
3>c>vuhh ^ 4 *
1941 - 194 1942 - 194 1943 - 194 1944 - 194 1945 - 194 1946 * 194 1947 - 194 1946 - 194 1949 - 195
canc.6/ 12/50
1946 - 194 1947 - 194
- New Amsterdam Casualty Co.
- "
R
r * n >
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R -
R
R
153 Milk St, Boston, Mass.
- 1
" Aetna Casualty and Surety Co.
' V/H '
. -, ` ifj 7'e
Bt/Hev ,
111 Pearl St., Hartford, Conn. T `*v' ^ toSse,i
1950
1951 1952 1953
- Travelers Insurance Co.
R 163 Asylum St., Hartford, Ct.
*!> 6*&>>%,
1943 1944
IRhode Island Covering Co.
357,So^th
Providence, R.I.
194| - Employers1 Liability Assurance Corp.
194# -
n
*
R
R
132 lempie St, New Haven, Conn.
r 'tecfe.E**
A. W. Bancroft -- cessed
,, 6 3 West'St, Reading, Mass.
1944 - 194f> - Royal Indemnity Co.
1945. - 194i> - " 1946 - 19 . R
r
r
R ,
R
1947 - 19 . "
R
R
1948 - 194 .
r
'
cane.7/26/ . n
R
R
195 Church St., New Haven, Ct<
H*hcrt 6'Kcei*
1949 - 195S) - Utica Mutual 955 Asylum St., Hartford, Ct.
F > * d Haiti-
Homestead Insulation Co. j 45 Granby St., Hartford, Conn. 195(1 - Aetna Casualty and Surety Co.
Ill Pearl st., Hartford, Conn.
Thcv^tt l^ussclf, E s *
Universal Insulation Co.
, 6i4 bchu^ cii Ave., Philadelphia,Penna. 19*0 - 19,1 - Employers' Liability Assurance Corp*
132 Temple St., New Haven, Conn.
*
1 A't/ ? H \CcTc
I
4
1925 1926
r st a n ol r a nccia,Tit"Insurance^
1920 "
"
n
H
N*
1927 "
"
"
It
5 U 6*
H
111 est Main it., Waterbury, Conn.
1927 1926 Johns Hanville Inc. of hass.
- ^Ployers Liability Assurance Corp. 132 ie.aple 6 1., Hew Haven, Conn.
ti. d ' f e e f e
1931
1932
1933
Johns Hanville Corp.,
2^ ,ast 40th St., Wew York,N.Y.
193: - stanaara Accident Insurance Co.
193 ?J
l
II
M
193'
n *
n
n
111 West i'lain it., Wateroury,"conn.
\Y>.6 ' " K e * '
1933
-
1934
1 ^ nVlle Crp- Nashua* "ew - otandara accident Insurance Co.
Hampshire
Ill west ^.ain St., waterbury, Conn. j -p &' &> h
1934 1936
1937
1935 - Employers L i a b i l i t y Assurance Corp
1937 -
"
r
it
1936
n
132 Temple St., New Haven, Conn.
1939 1937 1940 1941 1942 1943
Johns Manville Corp. 22 East 40th St., Hew York, N. employers Liability Assurance
'
w
1
' *
n
n
n
11
t*
Y.
Corp. w
1950 1951 -
Richmond Asbestos Co., Inc. 54-16 43rd St., Maspeth, L.I., N.Y.
" Hartford Accident & Indemnity Co# 1952| -
Respondents
matterwill^bpahparJi l n h ar8/ ere^ notified that the above-entitlc matter will be heard with reference to the following: auestionq h v ^
the undersigned at his office, Room 606, No. 54 Chufch Street ^
Hartford, Conn., on the 7th day of November 1955 at 10*30 A M
Re: INFORMAL CONFERENCE - ASBEST03IS
* *
Notice Issued: September 2 9 , 19 5 5
LEO J. NOONAN
AfiJmewled^e. receipt of th is notice at nr
Commissioner
*
lw d l c 4
.
STATE OF CONNECTICUT) ) SS.
COUNTY OF HARTFORD )
OFFICE OF COMPENSATION COMMISSIONER
FIRST DISTRICT
RE: Edward Campbell vs. Johns-Manville Co. ETALS
This is to certify that the attached is a true copy of the Notice of Hearing on file in this office.
A. PAUL BERTE Commissioner
STATE OF CONNECTICUT) ) SS.
COUNTY OF HARTFORD )
OFFICE OF COMPENSATION
.
COMMISSIONER
FIRST DISTRICT
'
RE: Edward Campbell vs. Johns-Manville Co. ETALS
This is to certify that the attached is a true copy of the Notice of Hearing on filein this office.
` A. PAUL BERTE
;
Commissioner
y- 'W
/illT_j .a.,,,
*>* * r
WORKMAN'S COMPENSATION COMMISSION OF CONNECTICUT
*
NOTICE OF HEARING
dward Campbell c/o Norman Zolot* Eaq# :o07 Whitney Ave., Hamden, Conn.
Claimant
i l ^ 4 ,^
V3.
covili Manufacturing Co. J. 0 . box 1820, Waterbury, Conn.
1919 - 192i - Self-Insured
\Iq s p P* r a ^ c
|192,
,1931
'.obert A. heasby
U 9 -149 W. 19th dt*, New York, N. Y.
19231 - No Record
119223H - No Record
. * 'I
192 - Hartford Accident & Indemnity Co. ----"Psv White
193 - Hartford Accident ce Indemnity Co.
F**.*Y`* K 3*
1$ Lewis St, Hartford, Conn.
(lestchester Asbestos Co. Mite Plains, New York 1930 - 1931 - No Record
Office of Compensation Commissioner First Congressional District
1931 1933 1934 1939 1940
1941 1942
1943 1944 1943
Armstrong Cork Co. iberty and Charlotte bt.,Lancaster,Penna.
- tajdard Accident Insurance Co.
.
tt
it
it
i
ti
tt
it
n
it
ti
h
it
ti
it
it
it
it
it
tt
ti
ti
it
it
it
it
h
ti
h
it
it
it
it
it
it
it
Ill West Main bt., toaterbury, Conn.
6'QWeh O'+ic*.
soestos Distributors Corp. 13 Last viashington ave., uridr-'eoort,Conn.
_
8 8 o tv
1934
-
1933
_
sbes11too
bistr1!ibutors(PortcIthester,Rn.Y)
Travelers ti
Insurance n "
Co. h"
1933 - 193b :anc.o/9 / 3 3
it
it
n
ti
h
i
" i
13 Asy l u m b t H a r t f o r a ,Ct
193o - 1937 - Asbestos distributors(driarenort,Ct.) U . o . Fidelity 6c Guaranty Co.
1937 - 19381 -
it
h
1938 - 1939
1939 - 19uO
Tf ' . "
h
iI"tI wMa<c
tl
"iI*I .
II
:anc.3/3/39
242 Trumbull bt..Hartford,C
h
II
1939 - 19401 1940 - 1941
ti
II
1941 - 1942
tt
tl
ti
" GeneralAccident Fire ac Life
tl
i..It
56o
$t>6 Whalley Ave. ,NewHaven,Ct.
1942 - 1943 - Hsoesto3 distrioutors(Portchester,NY ) Htfd.Accident&Indemnity C
h
1943 - 1944 2 . Il
H
t
" jjf iv .'d
W /kic"
I
"
1944 - 1943
15 Lewis bt.Hartford.Ct.
.undet Cork Company
New
7101 lonnelle Ave, Do. uergen,/Jersey
1939 - 1940 - Aetna Casualty anu ourety Co. Ill Pearl at., Hartford, Conn.
T.h,.
I
Insulation Company
,,IIWI
in,,
J74 Oakwood Ave., West Hartford,Ct.
1933 ' 93I " LibeSty MuSual In8UJance Co.
1939 - 194( -
canc*6/ l 4/ 4(
n
it
it
,,
63 East Center S t . , Manchester, Ct.
1940 - 1 9 4 1 - Glens F a lls Insurance Co.
,
J 141 Washington S t . , Hartford, Ct. ^
3>o*u ^ ^ t ^ CcK**r t `
1n9o4H2
" -
" 194 -
1943 - I94.-
1944 - 194
194$ - 194< -
1946 ^ 194' -
1947 - 194 1948 - 1941 -
1949 - 1951 -
cane.6/ 12/508
N2W ^ s t e r d a m
n
"
"
1
,
"
*`
"
153 Milk S t . ,
Casualty Co.
n
n
'
1 "
it ` wn 1''":I'..
N
it . h
Boston, Mass. V'"'
.
^ ' '
m ? I 1%
: Aena CasSalty a5d Surt>r &> 111 Pearl S t . , Hartford, Conn.
Ti* ? 0 ssc 11
1950
1951
1952
1953
195 - Travelers Insurance Co.
195
195 195
163 Asylum St., Hartford, Ct.
">- 'Bi-v*,
1943 1944
Rhode Island Covering Co.
357 South Main St., Providence, R.I.
1941 - Employers1 Liability Assurance Corp.
194|p
"
ti
it
132 Temple St., Hew Haven, Conn.
All
HekcVt* 0 \
r r
A. 63 1944 - 194 1945 - 19 . 1946 - 19 1947 - 19 . 1948 - 194 lb canc.7/26/4$ -
W. Bancroft - l>eceaseA
West St., Heading, Mass.
Royal Indemnity Co.
n .
1
>i .
n
11
n
ti
it
11'
195 Church St., New Haven, Ct.
1949 - I95 ) - Utica Mutual 955 Asylum St., Hartford, Ct.
/V b e r f F v * d tifiti"
1951
Homestead Insulation Co. 45 Granby St., Hartford, Conn. - Aetna Casualty and Surety Co.
Ill Pearl St., Hartford, Conn.
11. TKcv-n Vessel/, S*
Universal Insulation Co.
6 1 4 S c h u y k i l A v e ., P h i l a d e l p h i a , P e n n a .
19&0 - 19i 1 - Employers' Liability Assurance Corp. u 132 Temple St., New Haven, Conn.
a -ia, / u \Cc t c .
7"**rr
-
- 192i - 192'
Standard cciaent Insui'ance Co.
"
"
n
11
h
111 west Main st., aterbury, Conn.
E U 6 'ric s
- 192t
Johns Manville Inc. of Mass. ^mpioyers Liability Assurance Corp. 132 iernple St. , New Haven, Conn.
_ /f 6 'fcretc.
- 193 - 193 - 193
- 193
- 193 - 193 - 193
Johns Manville Corp.,
22 Last 4th St., New York,N.Y.
standard Accident Insurance Co.
b T>.6 *
^
-
" t
-
" .' 11
11
1,
111 West Main ot., waterbury, Conn.
Johns ^nville Corp., Nashua, New Hampshire
- Standard Acciaent Insurance Co.
,
111 west Main St., waterbury, Conn. B .T> e 'B>>'c h
- Employers Liability Assurance Corp.
-
"
tt
tt
r
-
"
I.
n . if. 6'
132 Temple St., New Haven, Conn. ,
Johns Manville Corp.
' '
22 East 40th St., New York, N. Y.
- 194' - Employers Liability Assurance Corp.
- 193 -
W
, .II
- ;If!
ft .-
- 194
- 194 :
"
- 194 - ,
n
- 194 -
tt
l'
n
n
nu
- 195 - 195
Riclunond Asbestos Co., Inc.
.
54-18 43rd St., Maspeth, L.I., N.Y.
- ,,
Hartfnord
Accidite* nt
&
Indemhnity1
Co.
n
h^ .S ^ ,-***.
.
Respondents
You and each of you are hereby notified that the above-entitle matter will be heard with reference to the following questions by the undersigned at his office, Room 608, No. 54 Church Street, Hartford, Conn., on the 7th . day of November 1955 at 10:30 A.M,
Re: INFORMAL CONFERENCE - ASBESTOSIS
Notice Issued: September 29, 1955
LEO J . NOONAN
M AgfcnQylAja_jrg.silPt_of this notice at once
\ , Commissioner
lw
/
STATE OF CONNECTICUT)
OFFICE OF COMPENSATION
) SS
COMMISSIONER
k
COUNTY OF HARTFORD ) *
FIRST DISTRICT
RE: Emma Y Haake, dependent widow of Harry Haake, deceased vs. Lotz Asbestos ETALS
This is to certify that the attached are true copies of the enclosed on file in this office.
Stipulation
Letter to O'Keefe, Johnson & O'Keefe
from the Commissioner.
Letter to Commissioner from Attorney Johnson
.
. Notice of Hearing
.. ; ,
.
A /Z l t L -
A. PAUL BERTE Commissioner
`(.-/is-.
',`;iff'n'iT^ ' it I !i",l
f'iiafiiiiiiim
,{. tilt
*.>'*Mi ' if,'
-h'.*'VWs'i.**'1J-,/.K,'V<HiM-.
' A R T H U R B. O ' KEEFE
D O U G LA S B. JO H N SO N ARTHUR B. O 'KEEFE, JR . HUBERT C. O 'KEEFE J A M E S M. D O N N E L L E Y ROBERT J. OfLLOOLY
O ' K e e f e , J o hnso n & O' K eefe
A t t o r n e y s a n d c o u n s e l o r s a t law 125 T E M P L E S T R E E T
NEW H A V E N , C O N N E C T IC U T Z O N C IO
July 22, 1958
TlLIAHONI STATI 7-2171 C abli Addai* "D ART"
N A //
M i . 2 3 g5g
Commissioner Leo J . Noonan 54 Church Street Hartford, Connecticut
Re: Harry Haake v s. Robert Keasby, et al
Dear Commissioner:
I am in receipt of a notice of hearing in this matter for September 22, 1958. We represent the Employers Liability Assurance Corp. in this matter.
Hubert O'Keefe was formerly handling tills matter and from our file it would appear that at the last hearing on November 29, 1957 we were to be let out of this case, as any exposure we had would have been in the State of West Virginia.
Will you kindly advise me whether or not we are to attend this hearing which is now scheduled.
Very truly yours,
O'KEEFE, JOHNSON & O'KEEFE
DBJ:io
DOUGLAS B . JOHNSON
s'~
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are in tor say period of ixposure, we trtJU, W
'notify y'ou, . A >
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Very, truly yours,
`..^V'An^V'51:'" ' .!
WORWffl-S COMPENSATION COMMISSION 01 CONNECTICUT ... n o t i c e o f h e a r i n g ,
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/. CLAIMANT , ; V8<
^ 2 0 to -1221
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3,921 J&.
1923, to I 9 a a
f,o!u9AWri9ttL Bt.. U*v(TorlCi **
(Ho record Of
lo t* Aso.stos ..ocmpany, J u n io r * . ?na'
_ __ _ fl.nmTMJITVV
,* ^ 5 '^ 5 S ! L S r S ? .
1928, to
''
Gaaualty C c m p a n y ^ r ^ v ^ .v
1
19)2 to
^W a lt!
? w - t0 . w
C-.'tj.s-f.2a76
f
t
;y s ^
j* 1 m
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1 tnaurftjioo
' :;;;, Company .
:
X9J5 * > St.Md.rd
Mas..
1 L. Collins Company, Hartford, Conn.
1225-S2.
1 9 M t0v yv " -..., ,< .. ' ;
', i1**.<-*\.^'**vV Xx;; -i'"f,*.i ' ', .' '
Hartford, Conn.'
., <*''
'` . iu>-W\ i. *.
19L0 to
1914 to 1942
Haw
r i d S / o w n . Oonn.
270 m a m o *m ***'", ;;
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.
X9*? Johns Manville Company, Morgantown, West Virgin a
TqfQ OOu m b
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Js2iLL- _ ,
t.bili.ty A.ss__u_r_a_n_o_an^Cmor-paotriaottiton
19X2 to 1W ; S S T K ! w `
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V
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1945
to-
195 ^ us-
Insulation Company
w artford,
, 67X Oalcwood Ate. wstl naniivm,
Conn.
19X5
to
i1+*9q5'<'40'0
H e w A m s t e r d a m , Casualty ComP ^ Main St ," MioMaUxdeleootwoui#m, Conn,
v *'5
& Surety Company
19X6 to
**'SSs^sa.?S'
4950 to t r w w . 5p c *
1955 --
Armstrong Cor* Oompnw, Unoaster, Pan-
,7f/XtX.0O
MMTaraaiinrnolSSattr..,,a
S "* HHaarrttfroorrdu,, .uvo--nn,
_ above-entitled
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v .nA eaoh of you are hereby
following questions hy
m a t T r a. f i r o f 4 4 :U S r f r r o O:
aartfc
btor w i l l be " f
ro 608, No . / 5L S"u 0V 1>` ,
undersigned at hls_off l ^ . m 8 r , 19jl| at a , W h .M>-
;
,
,
I t r ^ w .a n . ; ,
'"'r e ASBEflTOSlsV^ CCHyERIBiCB* ' IN " ' *'
Notice issued I^\y 25>
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LEO J N O O N A N Commi8Stner
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I
EMMA Y. HAAKE,
:
dependent widow of H arry
Haake, deceased,
of E ast H artford, Conn.
CLAIM AN T
CORAM
h/s^ ^
vs.
,
LOTZ ASBESTOS COMPANY
of H artford, Conn.
,
Em ployer
A ETN A L IF E INSURANCE C O .
(of H artford, Conn.
.
!
`
Insurer
CEN TU R Y INDEM NITY C O .
of H artford, Conn.
:
CO M PEN SATIO N COM M ISSIONER
Insurer
UNITED ST A TES CA SU A LTY C O .
of M iddletow n, Conn.
Insurer
NEW AM STERDAM CA SU A LTY CO .
of M iddletow n, Conn.
Insurer
STANDARD A CCID EN T INSURANCE C O .
of Springfield, M ass.
Insurer
IN SULATION CO M PAN Y
of West H artford, Conn.
Em ployer
GLEN S F A L L S INSURANCE C O .
of H artford, Conn.
Insurer
:
FIR ST CON GRESSION AL
NEW AM STERDAM CA SU A LTY C O .
D IS T R IC T
of M iddletow n, Conn.
Insurer
AETNA CASUALTY & SURETY CO.
of H artford, Conn.
Insurer
T R A V E L E R S IN S U R A N C E C O ....
!Iof H a r t fo r d , C o n n . l|
' Insurer
jARM STRONG CORK COM PANY
.
Jof L an ca ster, Penna. Em ployer
TR A V ELER S INSURANCE C O .
of H artford, Conn.
j
Insurer
:
S E P T E M B E R 17, 1959
II
RESPONDENTS
i
A P P E A R A N C E S : The claim an t was rep resen ted by E . A . M a s s e y , E s q . and
jJay W . Ja c k s o n , E s q . , 40 R u ss S tr e e t, H a r tfo r d , C o n n .; the respondents by
their various representatives.
STIPULATIO N
A contract of em ploym ent was in fo rce between H arry H aake, h erein after r e fe r r e d to as file d e c e a s e d , and the A r m s tr o n g C o rk C om p an y on
I
on or about June 6, 1957, and p rio r th ereto , the deceased had been em ployed , with the Insulation Com pany and Lo tz A sb esto s Com pany.
A ll of the afo re sa id p a rtie s w ere subject to the provisions of the
Com pensation A ct and the em ployers herein had com plied therew ith by insuring ,
th eir com pensation lia b ility with the in su rers set out in the caption h e reo f.
i
'
i
Pursuant to due and reg u la r n o tice , in form al hearings w ere held '
before the Com pensation C o m m issio n e r for the F ir s t C o n g re ssio n a l D is tr ic t on
S e p te m b e r 3 0 , 1957 and N o ve m b er 2 7 , 1957, when c o n fe re n c e s w ere held betw een
j:he p a r tie s in an attem p t to c o m p ro m is e the en tire c a s e ; thence postponed to j
Ju ly 20, 1959, when a further conference was held for this purpose.
I
A t these co n fe re n c e s, it was the cla im a n t's contention that the `d e c e a s e d had w orked fo r m an y y e a r s w ith the e m p lo y e rs h e r e in , in s ta llin g asbestos insulating m a te ria ls; th at, as a resu lt th e re o f, he contracted an occup ational d is e a s e , to wit: a s b e sto s is ; that he becam e d isab led th erefro m on o r about Ju n e 6 , 1957 and re m a in e d so d is a b le d u n til h is death on O cto b e r 14,
1957.
1 A llegin g that the d eceased 's d isab ility and death aro se out of and > in the course of his em ploym ent with the em ployers h e re in , the claim a n t, as i [dependent w idow , sought com pensation for the disability and death of the deceased together with paym ent of a ll the reasonable m e d ica l, su rgical and hospital b ills that had been in cu rre d , and the b urial expense, as allow ed by law .
The respondents, how ever, denied that the deceased had sustained j
any occupational d isease that arose out of and in the course of his em ploym ent ,
p ith the em p loyers h e re in . The respondents further contended that the entire |
claim was barred by reason of the statute of lim ita tio n s. The respondents furthe
contended that the d ece ased 's d isa b ility and death was due to an acute coro n ary ,
be elusion and other causes unconnected with his em ploym ent with the em ployees
h e r e in . In any ev en t, the respondents denied that the cla im a n t's lung condition
played a m aterial part in his disability and death.
j
|
H ow ever, in view of the num ber of te ch n ica l, le g a l and m ed ical I
questions that w ere in v o lv ed , and in view of the other doubts in the c a s e , as
outlined by the claim s of the p arties h e re to , it is hereby agreed and understood,
by and between the claim an t , the em ployers and in su re rs h e re in , a ll p arties j
Ito the c o n tr o v e r s y , th at w hile th e ir r e s p e c tiv e c la im s a r e m ade m good fa it h , ^
the cla im is a disputed one and that its r e s u lts , if fu lly p ro secu ted , would be ^
;doubtful.
j
1
W H E R E F O R E , it is agreed by and betw een the p arties hereto that the
respondents shall pay to the claim an t the sum of Three Thousand Three Hundred Sixty-th ree D o llars and Sixty Cents ($3363.60), the sam e to be m fu ll, fin al and com plete se ttle m e n t, ad ju stm en t, acco rd and sa tisfa ctio n of a ll cla im s .vhich , the a fo resaid claim an t m ight otherw ise have against the respondents, or any of th em , and to be m ade and accepted in lieu of a ll other com pensation paym ents
in accordance with the language of our act* "s, ; ' j !b .
It is hereby agreed and understood that said settlem ent o T housand T h re e H undred S ix ty -th r e e D o lla r s and S ix ty C e n t s ( $ 3 3 6 3 . 6 0 ) sh<
be divided and apportioned among the respondents h e rein as fo llo w s, to w it.
Lotz Asbestos Company Aetna L ife Insurance C o . Century Indem nity C o . United States C asualty C o . New A m sterdam Casualty C o . Standard Accident Insurance C o .
18.5% 11. 1% 3.7%
7.4% 11. 1%
$ 622.27 $ 373.37 $ 124.45 $ 248.90 $ 373.37
Insulation Com pany Glens F a lls Insurance C o . New A m sterdam C asualty C o . Aetna Casualty & Surety C o . [Travelers Insurance C o .
3.7% 18.5% 3.7% 18.6%
$ 124.45 $ 622.26 $ 124.45 $ 625.63
!A rm stro n g C o rk Com pany ITravelers Insurance C o .
3.7%
100%
$ 124.45 $ 3 3 6 3 .60~
lt is sp ecifically understood and agreed that said settlem ent of
^
Three Thousand Three Hundred S ix ty -th re e D o lla rs and Sixty Cents (3363.60) j
rep rese n ts a settlem ent of $1500.00 to the c la im a n t, plus paym ent of the follow ing b ills , to w it: S t. F ra n c is H o sp ital - $ 9 8 3 .6 0 . D r . H ennessy - $410.00 D r . Bowen - $110.00, D r . Danyliw - $ 5 5 .0 0 , and D r . D eRoche - $305.00, and that a ll of the aforesaid b ills sh all be paid by the claim ant out of the proceeds
of this total settlem ent.
|
The payment of said sum of Three Thousand Three Hundred Sixty- j
three D o lla rs and Sixty Cents ($3363.60) sh all be m ade and accepted as a fu ll ,
and fin al settlem ent for a ll com pensation for the d isab ility and death of the deceased and for a ll claim s for m e d ica l, s u rg ic a l, hospital and funeral expensed
to the end that the paym ent of such sum sh all constitute a com plete satisfactio n
of a ll claim s due or to becom e due at any tim e in favor of anybody on account
of the d isab ility and death of the d eceased .
j
It is e x p re ssly understood and agreed that the paym ent of said s u m 1
of Three Thousand Three Hundred Sixty -th ree D o llars and Sixty Cents is in .
full accord and satisfaction of a disputed claim and is not an adm ission of any ,
liability by the respondents , or any of th em .
i
It is fu rth er stipulated and agreed th a t, befo re the claim a n t signed
this stip u latio n , she read i t , or the sam e was read and in terp reted to her in a
language that she understands and she knows that it is a full and final settlem ent
and that it is intended to deal with any and a ll con d itio n s, known or miknown,
which exist as of the date h e reo f, or any changes of conditions which m ay arise
in the future on account of the d isa b ility and death of the d e ce a se d .
.
It is further agreed by and betw een the p a rtie s that this stipulation ! was not induced or entered into by fra u d , accid en t, m istake or duress none of the p arties h ereafter s h a ll have any further cla im s under the W .rk m en Com pensation A ct of the State of C onn ecticut.
IN VIEW O F T H E F O R E G O IN G , W e, the u n d ersign e d , hereby unite
in requesting that the Com pensation C o m m issio n er for the F ir s t o n gre ssi
D istrict approve this stipulation.
;
IN W ITN ESS W H E R E O F , We have hereunto set our hands and s e a l, th is 17th day of S e p te m b e r , 1959.
/WITNESSES^""; ''
Claimant
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L O T Z ASBESTOS---GO. , E m p. -respondent AETI^JA/iLIFE IN S; C O . , In s.-resp o n d en t
B^y_______ __J__V_w__O__'-Ox_i..^............... T h eir rep resen tative hereunto duly authorize:
L O T Z A SB EST O S C O . , Em p. -respondent C E N T U R Y IN D EM N ITY C O . , Ins. -respond!
B y_______/ ______________ , ~ .____________________ _ Their rep resentative hereunto duly authorize
L O T Z A SB E ST O S C O . , E m p.-respon den t U N IT E D ST A T E S C A S . C O . , In s. -respondent
________________ L Their r e p r te n ta tiv e hereunto duly authorize
L O T Z A SB E ST O S C O . , E m p. -respondent |
NEW A M S T E R D A M C A S . C O ., Ins.-respond
(fM&MtfZCX (~ f
4*^.--
|
B y .....i d A l w ^
1 L t\ O M '\________________ i
Their rep resen tative hereunto duly authorize
/
L O T Z A SB E ST O S C O . , E m p.-respondent ST A iiD A ilD A C C . IN S. C O ./ h i s , -respondent
> f) V Y ^ l / i K
;
Byf S K . u. r j A i L . - X
______________L
Th[eir`'r e p re s n ta tiv e hereunto duly authorize
IN SU LA TIO N C O . , E m p.-respondent GLENS^FALI^S IN S. C O . , In s. -respondent
_______________________________
Their rep resentative hereunto duly authorize!
ii
IN SU LA TIO N C O . , E m p.-respon d en t
1
NEW A M ST E R D A M X :A S. C O . v Ins. -respond.
OuriAlTtd / / 1 ^ V r . v/C'^
|
B y u L " > c ''C 4 / / , ;')//? //V / 4 ____________________ Their rep resen tative hereunto duly authorize'
IN SU LATIO N C O ./ O im p . -respondent A E '^NA^jC A S U A L T Y St S U R E T Y C O . , I n s .- t e
Their rep resen tative hereunto duly authorize.
/
'
IN S V L A jiO N / C O . , E m p.-respondent TRAV^LPR/S LN S^ C O ^ 'In ^ -resp o n d en t
By
i___________ -- ---------------------- --
JTheir rep resen tative hereunto duly authorize
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ARMSTRONG CORK C O ., m p T ir respondem t r a ^ l e ^ s m s ^ v itfa. ^ . poaZ~i
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,,T h e ir re p re se n ta tiv e hereunto duly author ize<
exam ined b y th e ^ ^ s i g n e d ^ th lng Stipulation havin8 been subm itted to and
settlem ent of a d ^ d
1959.
P
-
"cllfm L V t s T
^
,
d herebY approved this / / # day of Septem boJ ,
IT IS ADJUDGED, DECREED AND ORDERED ACCORDINGLY.
-SktSZLA'r^ o
COMPE^fSATIOI^COMMISSIONER FIRST CONGRESSIONAL DISTRICT
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