Document GmrEmY7ZmnMezVJkaLqvp5OGx

FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1964 DOC#: IWC034 DOCUMENT DESCRIPTION: Claimant - Addison, Gus i r,. - A fti I s' 4J STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION 4 v! * APPLICATION tf 0 FILE SIGNED ORIGINAL AND SIX COPIES (PLEASE PRINT OR TYPE NAMES AND ADDRESSES) CASE NO 63 L A 260-240 \ i l l IV L.T.ili.1 AffU C AD T-- -- IrQ-s-- ..tre a t-- , APPLICANT 1 A0 0 * H I 37 ifopn-A Social Security No. .-^20-- 03^*6612----vs. L Ittn o v iN (N flO T fft I A0 0 est ; : ' r i - T ' i ' i f ! f . n I 1.0 a I P U U r i IM U * M i m iN iu m n c i ci 00 ShT* 2- n MAUC Of t MPLOT t 1 .,,ca rn u n L cr. O C CU PAT ION AT T I M I OP I D J U f t f Q / 2L/C.Q. - i --y f OAT K Of I 1 I T H It. . alleges that while employed on._1 9 4 l ~ 0 0 - > o 0OAtTtI oOPr iInN jJ U ftT i9-i.4 - o 3 _ ....... .... ..,California, by C I T T . T O W 0 A L A C f WM l l J U T O C C U 0 UJx.-. N AM C OP I M P L O Y C f t ...he su.tained injury arising out of and in the course of the employment, as follow,: .jqxpouro Lo -ioawut anil-dust- ' * I r i i HOW I J U T W * t C . I V I O __resulting in Ititi. . or lau- ! .0 0 U W ....... ., I.IU .tD . U . O U T . IU I was the employer's insurance carrier on date of injury. 6 , ............................ W . M . . . r : ; . u . 0 , . u .............. 3. f t R lO O t O f f WOSK D U I TO T I t IMJVftT .............- ..........- ............ 4. Was compensation paid?-- 4-nV~... .. * .. YM OD DO TOTAL rIO 5. Earnings at time of injury $ ... .........o .' wV _ 0 aV i 7 m J U V t D * t V u * H t D TO W O . I DAT! LAIT M t DICAt P U N ,.H tD W ILT T l OATS 0 LA AT AAT I T The basis of pay was.....-- ..-........ ... t a t r ` T F t " 0# " " o u ' '-'' , * T` '` o u " ` A DA, A" A ,` * g. Was mescal treatment needed?_X 3 ...... - Who iurni,hcd ^eatment?- I T I A " . O C T 0 l W ho" T . I A T A O T N I l J U . T 0 T A T WHO AAIO T H . I . I L L . 7. This application is filed to determine liability fori Temporary diaability T C I O t MO c. Litigation expense--V J '5- v t l 0 * NO k P.rm ao.n. Jm bili.y ::: V Medical , rea.mera. - i t T i l 0 MO f-^ L L - ^ b h i I :i-cr--?KvVit'bir-t ^ ^ A M.dic.1. . . - _ 3 S ; ,,Uti"W & C r W H ER EFO R E, ,, i, rr,r,(rj /h ., . .n J fU r , br for k ,, > n ,,d lh ., .n .* .,d b, W r broper under the Workmen's Compensation Laws of California, . P Dated at._..lK/s-Att-t*1^3------California, _. erti -. " > " ! " ` > ** __ Mcaring requested at---- l*Q&--A-~t?i}~ TT Number of witnesses-Estimated time of trial- fill, o A L u l J w i i 6t.V i"j iiL LU, AfLICAAI I.TU I ti'.r l'.itMj KOScii' Iil l- .tj---- erv'Ln~'~i~-'~~~~'-r*~*~ " AAfrArLuItC^Ln i A l i o . ii)L ..ileWire uouiovarc Log An./jlca 17, California A T T O I M I T ' I A O O I t l i AMO T I L I P M O N I N U M l I I /13/o 4 Copico Gurvad on: 6ILLLL A 'findil.D LIJ Hi Tt i m 0 im til iati n o il- t1o*4II4N 0 O' ' t|i| <* I* I . . . . . t . . . . . . . .. ... .... ...w ..... o. . . . . . . . .......... . IN (4IH IM 44* ItUOUl 4 COmiMCI Of i-l n < * "> "**"* *m , .............. .. l> -.,. m fon <- Of n i '** .............. . ,#* I 4 M* 1 *M 'I 1 4 * 4 . 1. .......... tfft" **1 . ftlCI or HI 411M l i t ' U f *'l 4 * 1* ' * I ' 4**l*' 4* ' M" " II * Ol * **I ... ir ' .................... ITHItltl tlFICTIO 10 1 n u l l , ..... ........... ...... 0. ... CLAN. ! CO....... . . . ..'*- ALCI... C O - . . . 0 0 1 M l . ' . .* > " . * *'LL " VA. -.s ' THE DEFENDANTS IN THE GUS ADDISON CASE DATE OF INJURY: 1941 to 1963 EMPLOYbK " ---- OF COVERAGE AND EMPLOYMENT 1. C. L. Peck 22 3 II. W. Heilman Bldg. Los Angeles, California 2. R. J~ Daura 6803 West Boulevard ^ Inglewood, California 3. Gorelnik Company 117 South Poinsetta Place Los-Angeles, California 4. Ford J. Twaits, Edna M. Twaits & J. Twaits Twaits Company 449 South Beaudry _ Los Angeles 17, California 5. R. E. Campbell 316 East Weber _ Compton, California 6. Stiles 0. Clements & Robert E. Millsap 1135 Van Nuys Bldg. _ Los Angeles, California 7. Alco Construction Company 5423 Flemish Village Lane Los Angeles, California 12/31/41 3/31/42 6/30/42 3/31/42 3/31/42 to 12/31/42 6/30/42 9/30/42 6/30/42 6/30/42 8. J. K. Thomas & Theodore A. Beyer Corporation 1151 So- Broadway, Rm. 533 Los Angeles, California 9. N. M. Calhoun 845 North Highland Avenue Los Angeles, California 10. J. E. Burrell & Sons 522 San Francisco Avenue Long Beach 12, California 6/30/42 6/30/42 3/31/43 6/30/42 11. Leonard B. Carter 12134 Green Avenue Venice, California 12. D & B Const. Co-., Inc. 9171 Wilshire Boulevard^ Beverly Hills', California 3/31/42 9/30/42 3/31/43 13. E. C. Nesser 4822 West Jefferson St. Los Angeles, California 9/30/42 CARRIER No record No record No record No record No record No record No record No record No record No record National Auto. & Cas. Ins. a corp. P. 0. Box 5780 Los Angeles 55, California National Auto. & Cas. Ins. Co. a corp. P. 0. Box 5780 Los Angeles 55, California yr EMPLOYER 14. Aetna Construction Co. 631 South Witmer Street Los Angeles, California -2 - PD. OF COVERAGE AND EMPLOYMENT 9/30/42 15. Parkhill Wade 1625 South Alameda Street Los Angeles, California 16. W. C. Beggs 2122 Berkeley Avenue Los Angeles 26, California 3/31/43 to 9/30/43 9/30/52 12/31/52 9/30/43 17. Plant Rubber & Asbestos Wks. 9/30/43 ^ 537 Brannan Street 12/31/43 -"-"San Francisco, California 6/30/44 9/30/44 18. Ben N. Schlewe 361 North Fuller Avenue Los Angeles, California 12/31/43 19. Loew's Incorporated 1540 Broadway New York, New York 12/31/43 20. Republic Productions, Inc. 4024 Radford Avenue North Hollywood, California 3/31/44 3/31/46 9/30/46 21. Kndet Cork Corporation -- 65 South 11th Street Brooklyn, New York 6/30/44 22. Davies & Keusder M. M. Davies, W. W. Keusder and G. P. Brown 116*5 North Larchmont Los Angeles, California 3/31/44 6/30/44 /"23. Armstrong Cork Company ' Liberty & Charlotte Streets Lancaster, Pennsylvania 6/30/44 24. Murine Engineering & Supply Company 941 East Second Street Los Angeles 12, California 9/30/44 12/31/44 3/31/45 6/30/45 25. Cecil Witt 6227 South Wilton Place Los Angeles 44, California 26. Pozzo Construction Company 2403 Riverside Drive Los Angeles 2.6, California 6/30/45 to 12/31/45 6/30/46 12/31/45 CAR; H E R No record No record No record Pacific Employers Ins. Co., a corp. 4050 Wilshire Boulevard Los Angeles 5, California No record No record No record No record No record No record No record No record No record -3 - y EM FLO'S ER PD. OF COVERAGE AND EMPLOYMENT 27. Roy Kashner Roy Kashner Company 704 South Spring Street Los Ange Les 14, California 12/31/45 3/31/46 28. W, E. Robertson Company Walter E,, Robertson & Max Maltzman 4015 West Jefferson Bivd. Los Angeles 16, California 3/31/46 29. C. W.. Driver, Inc. 2618 'Temple Street Los Angeles 26, California 3/31/46 9/30/51 12/31/51 6/30/53 9/30/53 30. Basso-Sr i.urba Reddell John Basso. N. Sciurba * J. T. Reddell 807 Sunset Bouiev&td Los Angeles 12, California 3/31/46 31. A. V. P e r k m s o n 1149 North Las Palmas Los Angeles 38, California 9/30/46 3/31/47 32. Stanton Reed Company Harold E. Reed Forrest Stanton 816 West Fifth Street Los Angeles 13, California 6/30/46 9/30/46 3/31/47 to 12/31/47 3/31/48 to ` 12/31/48 12/31/49 3/31/50 33. P, j. Walker Company 3900 Whiteside Street Los Angeles 63, California 6/30/48 9/30/53 34. Baruch Corporation 5655 Wilshire Boulevard Los Angeles 36, California 3/31/48 35. Ernes: Potts Fred E. Potts Company 259 South Beverly Drive Beverly Hills, California 6/30/48 36. Steed Bros., a corp. 714 Date Avenue Alhambra, California 12/31/48 37. Boyd H. Gibbons, a corp. 640 South Wall-Street Los Angeles 14, California 3/31/49 38. Buttress McClellan, Inc. 6456 York Boulevard Los Angeles 42, California 3/31/49 6/30/49 CARRIER No record No record No record Pacific Indemnity Co., a corp. 3200 Wilshire 3oulevard Los Angeles, California No record No record No record ' No record No record No record No record No record Pacific Employers Ins. Co a corp. 4050 Wilshire Bou'1- -ard Los Angeles 5, California -4 - EMPLOYER - PD. OF COVERAGE AND EMPLOYMENT 39. Shumaker-Evans Contractors 6/30/49 a corp. 6631 East 26th Street E. Los Angeles 22, California 40. John A.. Kilarquist 618 South Western Avenue Los Angeles 5, California 6/30/49 9/30/49 41. H. Harold Jackson & 9/30/49 Wm. F. Jackson, Jackson Bros 3475 West Eighth Street Los Angeles 5, California 42. Louis C. Dunn, Inc. 12/31/49 681 Market Street San Francisco 5, California 43. Harold W. Underhill 4958 Valley Ridge Avenue Los Angeles 43, California 12/31/49 44. Frank Beer 2017 Wilmont Los Angeles 7, California 6/30/50 45. Joseph Schuck Schuck Construction Co. 1937 West 62nd Street Los Angeles 47, California 6/30/50 46. Pardee Construction Co. 6/30/50 George M. & G. M. Pardee, Jr'. to 10639 Santa Monica Blvd. 12/31/50 Los Angeles 25, California 47. C. L. Peck C. L. Peck & Viola Curtis Peck 407 Architects Building Los Angeles 13, California 3/31/51 to 9/30/51 48. Woodrow Franklyn Laremore 1547 South Manhattan Place Los Angeles 19, California 12/31/51 49. F. C. Frederickson & C. E. ' Easier Frederickson & Easier 212 13th Street Sacramento, California 12/31/51 3/31/52 50. Twaits Co. L t d s . & C. H. Wittenberg Twaits Wittenberg Company 507 South Bixel Los Angeles 17, California 3/31/52 to 9/ JO/52 0/30/55 51. Ross Construction Corp. 2207 L m n i n g t o n Avenue Los Angeles 64, California 12/31/52 3/31/53 6/30/57 CARRIER No record No record No record Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California No record No record No record - No record No record No record No record No record No record National Auto . & Cas. Ins. Co. a corp. P . G .Box 5780 , L.A. 55, Calif. Calif.Como. & Fire Co., a corp. _ 3325 Wilshire Blvd., L.A. 5, Cali i ! EMPLOYER 52. Charles R. Hensley 2515 Albert Way Arcadia, California -5 - PD. OF COVERAGE AND EMPLOYMENT 12/31/52 3/31/55 12/31/59 ^ 5 2 . , John Manville Sales Corp. 1 / 22 East 40th Street Y Sle w York 16, New York 54. i t J Escherick Bros. Inc. 645 South Avenue 21 Los Angeles 31, California 155. Jack A. Wachs & Albert 0. Pops J. A. Post Construction Co. 2507 East Imperial _ Los Angeles 59, California 3/31/53 3/31/53 9/30/57 3/31/53 56, Sara Gerber 23643 Emelita Street Woodland Hills, California a 57, F. J. Twaits Co. & Morrison Knudsen Company, Inc. 440 South Beaudry Avenue Los Angeles 17, California 3/31/53 6/30/53 58. Warren Driver & Clarence Driver Driver Construction Company 10910 Kinross Avenue Los Angeles 24, California 9/30/53 59, Thorpe Insulation Co. a corp. 2741 South Yates Avenue Los Angeles 22, California 9/30/53 SO C. F. Braun & Co., a corp. 1000 South Fremont Avenue Alhambra, California 12/31/53 3/31/54 to 9/30/54 SI. Ruane Corporation 4934 N. Walnut Grove Ave. San Gabriel, California 9/30/54 12/31/54 >2. Albert John Pacai 10410 Burbank Boulevard No. Hollywood, California 12/31/54 3. George A. Fuller Company ' 597 Madison Avenue New York, New York 3/31/55 6/30/55 6/30/60 carrier No record Allied Comp. Ins. Co.,' a corp. 4050 Wilshire Boulevard Los Angeles 5, California Travelers Insurance Co., a corp. 3600 Wilshire Boulevard ' Los Angeles 5, California No record State Compensation Insurance p. 0. Box 2134 Los Angeles 54, California Fund No record No record No record No record Fireman 1s Fund Ins. Co.,a corp. 3223 West 6th Street Los Angeles 54, California American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California Industrial Indemnity C o .,a corp. Box 2252 ~ Los Angeles 54, California " American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California Industrial Indemnity Co.,a corp. Box 2252 Los Angeles 54, California IMI5LOYER 64. Berkeley Plywood Co., a corp. 1401 Middle Harbor Road Oakland 20, California PD- OF COVERAGE AND EMPLOYMENT 3/31/55 65. Pozzo Const. C o . , a corp. 070 Virgil Avenue Los Angeles 29, California 6/30/55 9/30/55 66. Eugene McDaniel McDaniel Construction 11040 Amery Avenue South Gate, California 6/30/55 67. Holmes & Narver, a corp. 828 South Figueroa Los Angeles 17, California 6/30/55 12/31/55 3/31/56 6/30/56 68. Mack J. Friedman, Ernest 9/30/56 Levine Contr. Engineers Co. 12/31/56 2 310^ North Vernon Los Angeles 8, California CARRIER Liberty Mutual Ins. Co., a cor 6006 Wilshire Boulevard Los Angeles 36, California Transport Indemnity C o . , a cort 3670 Wilshire Boulevard Los Angeles 5, California No record Hartford Accident & Indemnity C a corp. , 548 South Spring Street Los Angeles 13, California Enterprise Ins. C o . , a corp. 300 South Hobart Los Angeles 5, California 6 9 ' 9a3V3h Sru0nnsSetn Boulevard Los Angeles 12, California 12/31/56 70. Dell E. Webb Constr. Co., a corp. P. 0. Box 4066 Phoenix, Arizona 3/31/57 71. George 0. Gartz Gartz Construction Co. 3908 Mission Road Los Angeles 31, California 12/31/57 . 72. C. L. Peck Construction & Realty C o . , a corp. 816 West Fifth Street Los Angeles 17, California 12/31/57 3/31/58 73. J. William Turpin & W. H. Christensen 10823 Sepulveda Boulevard San Fernando, California 6/30/57 74. Camill Brothers, Inc. 350 Sanbone Street San Francisco 4, California 3/31/58 75. Globe Steel & Supply Co. 1313 East Sixth Street Los Angeles 21, California 6/30/58 76. The Wm. Simpson Const. Co., 9/30/58 * 2401 Beverly Boulevard Los Angeles 57, California 12/31/58 No record Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California No record Truck Ins. Exchange, an inter-insurance exchanqe Box 2478 Los Angeles 54, California No record No record National Auto. & Cas. Ins. a corp. P. 0. Box 5780 Los Angeles 55, California Co., Pacific Indemnity C o . , a corp. 3200 Wilshire Boulevard Los Angeles, California mX y -7 - EMPLOYER PD. OF COVERAGE AND EMPLOYMENT " 77. David W. Gordon 3844 Girard Avenue _ Culver City, California 6/30/58 78. Hardwick & Son, Inc. i 1101 Somerset Lane _ 1 Newport Beach, California 3/31/59 79. : Consolidated Western Steel Division - U. S. Steel Corp. p. 0. Box 2015 Terminal Annex Los Angeles 54, California 3/31/59 I 80. ! I81. j '82. i ! William J. Moran Company 1011 South Fremont Avenue Alhambra.. California 3/31/59 Peter Kiewit Sons Company 12/31/ j9 Payroll Department 1024 Omaha N a t 'l. Bank Bldg. Omaha 2 , Nebraska Ford J. Twaits, Carl H. Wittenberg 507 South Bixel Street _ Los Angeles 1 7 , California 6/30/60 9/30/60 6/30/60 i 83. Edward M. Pozzo Edward M,, Pozzo Company 1052 West Sixth Street _ Los Angeles 11, California 84. Lo E. Dixon Company, a corp. ' 409 South California San Gabriel, California 6/30/61 9/30/61 85. Guy T. Atkinson Company 9/30/61 10 Viest Orange Avenue _ S. San Francisco, California j ' 86. MacDonald, Young & Nelson 8907 Railroad Avenue Oakland, California 12/31/61 3/31/62 87. Jackson Investment Co. a corp. Carter Co. Contr. & Developers : 2975 Wilshire Boulevard^ Los Angeles 5, California 3/31/62 6/30/62 88. Crown Constr. Co., a corp. _ 5059 West Pico Boulevnid ' Los Angeles 19, California 9/30/62 . 89. Odell 0. Atkins Box 84 Anaheim, California 9/30/62 carrier Industrial Indemnity Co., a corp. Box 22 52 Los Angeles 54, California No record Liberty Mutual Ins. Co., a corp. 6006 Wilshire Boulevard ^ Los Angeles 36, California Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California Liberty Mutual Fire Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California No record Zurick Insurance Co., a corp. 4465 Wilshire Boulevard Los Angeles 5, California Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California Argonaut Insurance C o . , a corp. 1001 Wilshire Boulevard ^ Los Angeles 17, California Continental Casualty Co.,a corp. 2975 Wilshire Boulevard Los Angeles 5, California Industrial Indemnity Co.,a corp. Box 22 52 t Los Angeles 54, California Travelers Insurance Co., a corp. 3600 Wilshire Boulevard Los Angeles 5, California P ia tiifty u ftd f 'f J ok a S K , fVU-T Q o rk Ut / /. f u ^ b x .r' Cc> /,'Ie. It aJet a / / cz / y / / / y ( < 2 6 I-0 2 U CABLE ADDRESS ALEXCANO TELETYPE PG 891 A LE X A N D E R AGENCY, INC. IN S U R A N C E -W O R LD WIDE SIN C E 1 8 5 3 316 FOURTH AVENUE PITTSBURGH, PA. 15222 May 21,1965 Wallace 3. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Penna. / L Dear Mr. Hofferth: Re: Gus Addition Vs C. L. Peck, et al Ca`se~No. 6 X 1 . A.260-240. We are enclosing Final Report - Closing Advice covering the above. - 'g~ Very, truly vours, J Y S.A.Huy H. end. OUR SCCOND CCNTURY O r INSURANCE SERVICE: A/..... -J ou-* * a .lOD OJ* FINAL REPORT-CLOSING ADVICE From Policy No. AZ 5612^7 Insured LOS ANGELES ER. Pol. EfP. Date i/iAH A d j. Pf.-- Sym. 91 C Cloim No 6*5*5121 Armstrong cork co. Agent V .L.P . SHR1NER C laim ant GUS AGO I SON LINE DESIGNATION PAYMENTS C L A IM E X P E N S E -- IE G A L Date -5/ 11/65 [1sMuI#L Policy W ritte n In RELIANCE; PLANET; L O ffice & Prod. Code 02 8A 0 W eek. W a g e (Comp. P.C.R.; COMMERCIAL State C ode to which Prem. Chrgd. Date o f Accident o r Loss LINE DESIGNATION ' ' PAYMENTS C L A IM EXPENSE-- LEGAL Bodily ln|ury*; Burglary; 1 Com pensation; Glass 1 General Liability M edical Payments 1 Compensation M edical Treatment 2 Property Damage 2 0 .0 0 7 8 .0 0 x x x x x x x x 30 NIL 5 Death & Dismemberment M ultiple Peril Third Party L iability 6 M u ltip le Peril M edical Payments 7 Group 8 Accident & Sickness 3 Automobile Physical D am age 9 Uninsured M otorist 4 Automobile M edical Payments TO TAL ALLO C ATED LEGAL E X P .-J O , 1 1 ,1 2 TO TAL UNALLO CATED LEG AL EXP.-- 9 0 Explanation o f settlement; Report on subrogation; o r ony unusual circumstances not c le a rly covered b y papers transm itted! * If injured is a m in o ri -g ire 'S g e a t d a te " CC PITTSpURGH,PENNSYLVANI CC: AGENT - V .L .P . SHRINER CC: V. C. MCDONALD, MANAGER, CLAIM DEPT. V. C. MCDONALD MANAGER, CLAIM DPT. 'h ) I IH II III I 'MI COrY 3 261-0216 CABLE ADDRESS AltXCANO TELETYPE PG 891 ALEXAN D ER AGENCY, INC. IN S U R A N C E -W O R L D WIDE SIN C E 1 8 5 3 316 FOURTH AVENUE PITTSBURGH, PA. 15222 January 22, 1965 Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pe na. / UV > Dear Mr* Hofferth: Rey Gus Addison vs C.L.Peck, et al base n0t oj~L.A.260-240. We are enclosing copy of letter received from the Reliance Insurance Company in connection with the above. We advised them that we would give them every cooperation. Very truly yours > S H. enei. o u r se c o n d c e n t u r y o r in su r a n c e s e r v ic e Radane Inturmne^ Com pany Plant Inaurane# C om pany 261-0216 CABLE ADORESS ALEXCa ND TELETYPE PG 891 ALEXAND ER AGENCY, INC. IN S U R A N C E -W O R LD W IDE SINCE 1 6 5 3 316 FOURTH AVENUE PITTSBURGH, PA. 15222 January 14, 1965 Wallace B. Hofferth Assistant General i'-ianager Insurance Department Armstrong Cork Company Lancaster, Penna. / > t (* Dear Mr. Hofferth: Re (Gus Addison vs C.L.Peck, et al case N6.63 L 260-240. Bev. asked me to acknowledge receipt of your letter of the 13th in reference to the above. ^ J We have sent this notice to Los Angeles, Cal.,office of the Standard Accidemt for attention. Very truly yours, c / V ; J y i .v S.A.Huy H. OUR SECOND CENTURY OF INSURANCE SER V IC E January 13> 19^5 Mr. B. R. Shriver Alexander Agency, Inc. 316 Fourth Avenue Pittsburgh, Pennsylvania 15222 Dear Bev: Subjects Gus Addison \/ ' vs. C. L. Peck, et al Cose No. 63 L . A . 260-21+0 Ihcloaed is a Notice of Hearing in the above-captioned cose. Sincerely yours, DJH Enclosure Wallace B. Hofferth Assistant General Manager Insurance Department INDUSTRIAL ACCIDENT COMMISSION STATE OP CALIFORNIA , ` `v.v, ;-,v i- QUS ADDISON i \1 Applicant V8 . |) c. L. PECK; *et al ) Defendants ) / Case No. 63LA 260 040 NOTICE OF TIME AND PLACE OF FURTHER HEARING NOTICE TO ALL PARTIES you a r e h e r e b y n o t i f i e d t h a t f u r t h e r h e a r i n g w i l l b e h e l d In the above-entitled action at 4107 LOS ANGELES STATE OFFICE BUILDING, 107 SOUTH BROADWAY, LOS ANGELES, CALIFORNIA February 8, 1965 9:00 A.M. all day Dated at: LOS ANGELES January 7, 1965 INDUSTRIAL ACCIDENT COMMISSION NOTE: . CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED. NAME AND ADDRESS OF PERSONS SERVED See attached Joinder for service. BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA GUS ADDISON Applicant vs. C. L. PECK; et al and INDUSTRIAL INDEMNITY EXCHANGE, an inter-Insurance exchange THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an inter insurance exchange Defendants Case .No 4 6 3 LA S60 240 ORDER JOINING PARTY DEFENDANTS GOOD CAUSE APPEARING THEREFOR$ IT IS HEREBY ORDERED THAT " ' INDUSTRIAL INDEMNITY EXCHANGE, an lnter-inaurance axchange THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an.Inter-. ... inaurane exchange . be Joined as a party defendants in the above entitled cause. WILLIAM KAPLAN Referee ' INDUSTRIAL ACCIDENT COMMISSION January 7 19^5 Parties served; 1/ 7/65 See attached list for service. CS ADDISON 13 2 U. 42ND S1?,, LOS ANGELES 93?, CALIF. ' LEVY, 1EROYi OSPFNER K0S2DN 6 GLOW* 1520 WILSHIRE BLVD., L.A. DONALD F. SH/.V, 1901 &LAX2 73., LOS ANGELES 900*9, CALX?. C. L. *ECK, 223 H. W. HELLHAf SLDG., 354 SO. 3PXI;JG SL. LOS ANGELES H. J. :>AUM, 6803 WEST BLVD.. INGLEWOOD, CALI?. GORELMIX CO. 11? 20. POXfISLTTA PL., LOS ANGELES, CALIF. FORD J. WAITS, EDNA . TVAIT3 A J. TWa ITS: '"LAITS COMPANY, 449 SO. 2EAUDBY, LOS ANGELES 1?, DALI?. B. E. CAMPBELL, 316 S. WEBER, COMPTON, CALIFORNIA . '' ` 3TXL5S 0. CLEHEXT3 SOSES? 3, MILLSAP 2135 V.LX JflJYS SLDO., 210 W. ' ' 7?H ST., LOS ANGELES, CALI?. ALCO CONSTRUCTION CO*, 5423 FLEMISH VILLAGE LANE, LCG ANGELES, ' J. E. THOMAS THODORS A. B2YS3 COR?.. 1151 20. BROADWAY, 3*1. 533 ' LOS ANGELES C'!!*". N, M, CALHOUN, 645 NORTH HIGHLAND AVS., LOS ANGELES, OALIP. J. E. BUHRSLL & SONS, 522 SAN FRANCISCO AVE., LONG BEACH 22, CAL1P. LEONARD B. CARTER 12134 OP.ESN AVE., VENICE, CALIF. H 8 CONSTRUCTION CO., INC., 9X?1 WIL3HI3E 3L7D., BEVERLY HILLS E. C. NES3SH, 4822 W. JEFFERSON ST., LOS ANGELES, CALX?. AETNA CONSTPUCTION CO., 631 SO. WITHES ST.. LOS ANGELES, CALIF. P/SRXHILL WALL, 225 SO. ALAMEDA ST., LOS ANGELES, CALI?* - W. C. BEGOS, 2122 BERXLE AVE., LOS ANGELES, CALIF. PLANT RUBBER & ASBESTOS WORKS, 53? BRANNAN ST., SAN FRANCISCO, CALIF. BSN N. SCHL2WL, 361 NORTH FULLER AVE., LOS ANGELS3, CALIF* LOWE'S INC., 1540 BROADWAY, NSW YORK, NSW YORK . REPUBLIC PRODUCTIONS, INC., 4024 RADPOD AVE., NORTH HOLLYWOOD, CALIF KNDET CORK CORP., 65 SO. U T H ST., BROOKLYN, NEW YORK * DAVIES KEUSDSRt H. H. WVIESt W. V. XSUSDER & G. ?. BROWN, -F . 12A * N. LARCHMONT, LOS ANGELES, CALIF. ... x ARMSTRONQ CORK CO., LIBERTY CHARLOTTE STS., LANCASTER, CALIF. ? MARINE ENGINEERING SUPPLY CO., 941 E. 2ND ST., LOS ANGELES 12?,. * - CECIL WITT, 662? SO. WILTON PL., LOS ANGELES, CALIF. "- P022 CONSTRUCTION CO., 24^3 RIVERSIDE DR. LOS ANGELES, CALIF. ROY KASHNSH, SOY XASHNER CO., ?04 SO. SPRING ST., LOS ANGELES, CALIF. . E. ROBERTSON CO., WALTER G. ROBERTSON & MAX K..LTZA!?, 4015 ' ' WEST JEFFERSON, LOS ANGELES, CALIF. . C. W. DRIVER, INC., 2618 TEMPLE ST., LOS ANGELES.26, CALIF. , BASSO-SCIUEBA REDDELL. JOHN BASSO* N. SCIURBA, *6 J. T. aSDDBflV-' 80? SUNSET SL7D* LOS ANGELES 12 A. V. PEBKINSON, 1149 NORTH LAS PALMAS, LOS ANGELES, CALIF. ' STANTON ESED CO. - HAROLD E. HEED: FORREST STATIC?? Ol W. 5TH ST. . LOS ANGELES 13, CALI?. ?. J. WALKER CO., 3900 WHITESIDE ST., LOS ANGELES 63, CALIF. BARUCH CORPORATION, 5655 WILSHIRE BLVD. LOS AMC3UI .I..C.AL"Ih- ERNEST POTTS, FR3D E. POTTS CO., 259 30. 3S7SFLY .., BEVERLY HILLS STEED BROS., 714 DATS AVS., ALHAMBRA, CALIF. . BOYD H. GIBBONS, 40 SO. WALL ST.t LOS A--JOSLES 14, CALIF. BUTTRESS & MC CLS.~-AN, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKSR-EVANS CONTRACTORS, 6631 E. 26TH 3?., SAGT L03 HOELES, CALI JOHN A. KILABJUIST, 6l8 SO. WESTERN AVE., LOS ANOELES, CALIF. H. HAROLD JACKSO" W1. ?. JACKSON. JACKSON BROS.. ?4?5 **. ?TH ST* .LOS ANGELDS, CALX?. LOUIS C. DUNN, INC., 681 MARKET ST., SAM FRATCZSCO, CALI''. -AHOLD W. UNDERHILL, 4356 VALLEY RIDGE ATS., .V:: ..`TOELEU 43, CALI?. FRANK SEES, 201? WILSON?, LC3 ANCSLSS ? CALI?. Jo s e p h ccucx- ?c :xtck co^r??* co., ;?'?? w. 6:::*d s t .. log An g e l e s *?? "31 RIST?. CO., CEO, :f rA :r^ :: -nr*wn* % ^*** ;**?" *fcJ ^ /"I -, ntFpy ' t ^4 t? *, a 1^'3r,u^r^rr7,'^ nr^nri^ . / i 5.'' . '>* -.X 'l*\. 1 D 9 r' CO., Lto> ^ ^ ,, c h a o l a s WftT ii C T IO W c j o p 5 0 ' -- " W I r N/ ? rrf ^ ^ V l L ^ Z 5 1Vr* ^ C H Z R j c t ; 3 ^ 7 Sn^ J COriP. `V ; * / " ^ ' "-'C.'DJ.. A-v JaCf a . v.M^Vc3; lN-., 645'c,;- rn-'T ^ o t'h s ^ ` 1 - -S c AL3fT' o Pnn' n 'v'E 2 1 fjAo ' ' jS(w i'CAK SA C ^ r n * PCP5 - J . a *p^?m t : P E L E S 31 ? * ^ twa7 t s v*> 6 1 1 v ^ . E a i * ^ % s ^ l h r Co[' y * e , m m i - ^ < - ^ o SSl ^7-A.lfciKo, TORPE I - i r , M IV :;S -' M r V '' SC' r ? " " ES i ? , r * t f * a l b e b t johj? ` d? ion> ^ 3 4 ^ * ? EMav? AV^ '^* %mPE "CZLE.S ?> HOLMEs 4 .A)lrPn " Ii- ACK j c" f epEv [^ Ba; ^ * y v fe C.' / f r ^ ^ a E S , o - .l x y L I ' m -' 2J1 , "'*' o.;u ' CAr.rp. ; ^:-P:; 0005 CA; rbVh,'il4 PACIFIC EMPLOYERS INiVRArCE CL., `-OAO WILSHIRE BLVD. , LOG ANGELAS CALIFORNIA EMPLOYERS MUTUAL Lln.-ILIIY INSUa.. .CE CoMp ANY OF WISCONSIN, '5^ * :re p l v d ., i ; ,,b o l l e s , c a l i f . STATE COMPENSATION INSURmxCE FUND, BOX 21AL, LOS ANGELES 900.54, CALIFORUIA GUARANTEE INSURANCE COMPANY, i6?l WILSHIRE BLVD., LOS ANGELES, CALIF. ARGONAUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS nAGELES, CAuIF. CALIfjRiiln COMPENSATION & FIRE CO., 33*;`> WILS-.il-. ::wVD., L.CS L J j LALIr ALLIED COMPENSATION INSURANCE CO., L05C WlLSHThS BLVD., LOS ANGELES, CAL] P. nTr. TRAVELERS INSURANCE CO., 3^00 WILSHIRE BLVD., LOS ANGELES, CALIF. ZURICH INS. CO., ^ 6 5 w i l c h : PI BLVD., lcs ANGELES, c a l i f . AMFRICa N MOTORISTS INSURANCE CO., 35^5 WILSHIRE BLVD., LOS ANGELES CALIF., ATTN: J. D. HENDERSON ' LIBERTY MUTUAL INS. CO., 6006 WILSHIRE BLVD., LOS ANGELES, CALIF. TRANSPORT.INDEMNITY CO., }6?0 WILSHIRE BLVD., LOSANOSLES, CALIF. HARTFORD ACCIDENT & INDbMu.ITY CO., 5^3 3D. SPRING ST., LOS ANGELES, CALIF. ENTERPRISE INSURANCE CO., - NOW MI 33 ICN INS. CO., 300 SO. HOBART, LOS ANGELES, CALIF. TRUCK INSURANCE EXCHANGE, BOX 2L?8, Lu3 ANGELES 5**, CALIF. CONTINENTAL CAS. CO., 2975 WILSHIRE BLVD., L03 ANGELES, CALIF. WEINGAND, KEWDIG, STOCKWELL , 611 SO. CATALINA, LOS ANGELES, CALIF. CLOPTON & PENNY, 633 SO. SPRING ST., LOS ANGELES, CALIF. ZONNI, GINOCCHIO & laYLCR, 30. SPRINo ST., SUi 7Hj *->0S ANGELES, CALIF. R. L. Ka UTZ & CO., 510 W . 6TH ST.. L03 ANGELES, CALIF. ^ k..otn l^lv *. ^,'hn, 1nrp , AtM 51 .. IO3 ,**P.gPie3, CS.A. 1 . EARLY*, \V.SlX c H, rJr.AN WlLLrAPS, d OX 2L?8, LOS NGEL3 5^ CALIF. aTTN: DONALD BRAUN Spray, G^.-lo & Bowers, iCt'i .ianire, LA * FU La u 11x * Induatri Th$ Calif. C a^n, 131 3 W. nth t., LA 9-'0H ng, 67C9 Sunset Blvd. x LA , Indem. Exchange, A: S . Hill St., LA 90013 ;rsen h Kan3ell, G'-O S. Viirrggii.l, LA Industrial Indemnity C^., ox LA 9005^ 261-0216 CABLE ADDRESS ALEXCAND TELETYPE PG 891 ALEXAN D ER AGENCY, INC. INSURANCE-WORLD WIDE SINCE 1853 316 FOURTH AVENUE PITTSBURGH, PA. 15222 April 20, ]064 (Monday) M r . Wallace R. Hofferth Armstrong Cork Company Iancaster, Pennsylvania 1 7 6 0 4 Dear Wally: Re : Cu5 Add ison The Travelers are the ones named and not the Standard, therefore, I am returning the papers sent PRSseh Enclosures OUR SECO ND CENTURY OF INSURANCE SE R V IC E INDUSTRIAL ACCIDENT COMMISSION STATE OP CALIFORNIA GUS ADDISON Applicant, VS C. L. PECK, ET AL SEE ATTACHED APPLICATION Defendants* j NSTICE CP HEARING ) )Case No. 63 L.A. 260-240 ) ) ) ) ) ) ) ) ) ) You are hereby notified that an application for compensation (a copy r,f which Is attached hereto) has been filed with the Industrial Accident Commission of the State of California. You are further notified that said application has been set for hearing at 4107 LOS ANGELES STATE OFFICE BUILDING, 107 SOUTH BROADWAY . LOS ANGELES, CALIFORNIA ' APRIL 22, 1964 9:00 A.M. HALF DAY and that at said time and place the Industrial Accident Commission of the State of California will proceed to hear and dispose of the said application in the manner prescribed by law. NOTE: The parties are expected to submit all issues in controversy for decision at this hearing; therefore, all necessary witnesses, evidence, documents, medical reports, payrolls, and other essential proof must be available and ready for submission at the hearing. . DATED: LOS ANGELES, CALIFORNIA APRIL 9, 1964 INDUSTRIAL ACCIDENT COMMISSION By william Kaplan Assistant Secretary The undersigned certifies that as an employee of the Industrial Accident Commission she served the foregoing notice on the parties hereinafter mentioned, at the time set opposite their respective names, by depositing a copy of said notice attached to a copy of the application therein mentioned, in a sealed envelope in the United States mail on said day, at Los Angeles, California, with the postage thereon fully prepaid, and addressed to the said parties at their last known places of business cr residence, as follows, to wit: NAME AND ADDRESS OF PERSONS SERVED: SEE ATTACHED LIST FOR SERVICE: _______ Harriet Plnck_______________ SIGNATURE OF PERSON SERVING NOTICE BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATS OF CALIFORNIA GUSS ADDISON Case No. 63 L.A. 260-2^0 Applicant ORDER JOINING WS PARTIES DEFENDANT C L. PECK, ET AL (SEE ATTACHED ) APPLICATION) - AND - PACIFIC INDEMNIT COMPANY, A CORPORATION: NATIONAL ) f AUTOMOBILE AND CASUALTY COMPANY, A CORPORATION: PACIFIC EMPLOYERS INSURANCE COMPANY, A CORPORATION: EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, A CORPORATION: STATE COMPENSATION INSURANCE FUND: GUARANTEE INSURANCE COMPANY, A CORPORATION: ARGONAUT INSURANCE COMPANY, A CORPORATION: CALIFORNIA COMPENSATION AND FIRE COMPANY, A CORPORATION: ALLIED COMPENSATION INSURANCE COMPANY, A CORPORATION: TRAVELERS INSURANCE COMPANY, A CORPORATION: ZURICH INSURANCE COMPANY, A CORPORATION : AMERICAN MOTORISTS INSURANCE COMPANY, A Cu Ou Ri tPr Ou RnAhTi IJ-OWiNM:. LIBERTY M---U--T- :UnA7L,^AInNnSr .UmRa CE COMPANY, A CORPORATION: TRANSPORT INDEMNITY COMPANY, A CORPORATION: HARTFORD ACCIDENT AND INDEMNITY COMPANY, A CORPORATION: ENTERPRISE INSURANCE COMPANY, A CORPORATION: (NOW MISSION INSURANCE COMPANY): TRUCK INSURANCE EXCHANGE, AN INTER INSURANCE EXCHANGE: CONTINENTAL CASUALTY COMPANY, A CORPORATION: Defendants GOOD CAUSE APPEARING THEREFOR: CALIFORNIA COMPENSATION AND FIR* COMPANY, A C0R?03}i F L E R S COMPENSATION INSURANCE COMPANY, A- CGRPORATICN A ' INSURANCE COMPANY; A C O H K M T I O N i ZHKICH INSURANCE C TM ^ ATI0N! ssOEIlSillH S S COMPANY, A CORPORATION: be joined as parties defendant in the above entitled cause. William Kaplan Referee INDUSTRIAL ACCIDENT COMMISSION GUS a DDI SOI' , 1302 W. 42'!D ST., LOS AKG SLES 90037, C/.LIF. LEVY, DERO , GEI-ENER, AOBLDTN & GLOV.', 1520 WILSKIRE ELVD* , L.A. DONALD F. SHAW, 1901 BLa KE AVE.| LOS ANGELES 90029, CALIF. C. L. PECK, 223 H. W. Ha LLNAN BLDG., 35^ SO. SPRING ST., LOS ANGELES R. J. DAUM, 6803 WEST ELVD. . INGLA.OOD, CALIF. GORELNIK CO., 11? SO. POINSc-TlA PL., LOS ANGELES, CALIF. FORD J. TWAITS, EDNA M. TWAITS Sc J. TWnITS: TWAITS COMPANY, 449 SO. BErtUDRY, LOS ANGELES 17, CALIF. R. E. CAMPBELL, 316 E. WEBER, COMPTON, CALIFORNIA STILES 0. CLEMENTS Sc ROBERT E. MILLSAP, 1135 VAN NUYS BLDG., 210 W. 7TH ST., LOS ANGELES, CALIF. ALCO CONSTRUCTION CO., 5423 FLEMISH VILLAGE LANE, LOS ANGELES, 7. K. THOMAS & THEODORE A. BEYER CORP., 1151 SO. BROADWAY, RM. 533 LOS ANGELES, CALIF. N. M. CALHOUN, 845 NORTH HIGHLAND AVE., LOS ANGELES, CALIF. J. E. BURRELL SONS, 522 SAN FRANCISCO AVE., LONG BEACH 12, CALIF. LEONARD B. CARTER, 12134 GREEN AVE., VENICE, CALIF. D & B CONSTRUCTION CO.. INC-, 9171 WIL3HIR2 BLVD., BEVERLY HILLS L. C. NESSEP. 4822 W. JEFFEpSON ST., LOS ANGELES, CALIF. AETNA CONSTRUCTION CO., 631 30. WITMER ST., LOS ANGELES, CALIF. PARKHILL WADE, lt'25 SG- ALAMEDA ST., LOS ANGELES, CALIF. V. C. BEGGS, 2122 BERKLEY aYE., LOS ANGELES, CALF. SLANT RUBBER & ASBESTOS WORKS, 537 BR.iNNAN ST., SAN FRANCISCO, CALIF. r-'.N N. SCHLEWE, 36I NORTH FULLER AVE., LOS ANGELES, CALIF. LOWE'S INC., 1540 BROADWAY, NEW YORK, NEW YRK REPUBLIC PRODUCTIONS, INC., 4024 RADFORD AVE., NORTH HOLLYWOOD, CALIF KNDET CORK CORP., 65 SO. IITH ST., BROOKLYN, NEW YORK DAVIES & KEUSDER: M. M. DAVIES: W. W. KEUSOER Sc G . P. BROWN, 1165 y . LARCHMONT, LOS ANGELES, CALIF. G ARMSTRONG CORK CO., LIBERTY & CHARLOTTE STS., LANCASTER, CALIF. MARINE ENGINEERING Sc SUPPLY CO., 941 E. 2ND ST., LOS ANGELES 12 CECIL WITT, 6627 SO. WILTON PL., LOS ANGELES, CALIF. POZZO CONSTRUCTION CO., 2403 RIVERSIDE DR., LOS ANGELES, CALIF. ROY KASHNER, ROY KASHNER CO., 704 SO. SPRING ST., LOS ANGELES, CALIF. W. E. ROBERTSON CO., WALTER . ROBERTSON Sc MAX MALTZMAN, 4015 WEST .TEFFERSON, LOS ANGELES, CALIF. C. W. DRIVER, INC., 2613 TEMPLE ST., LOS ANGELES 26, CALIF. BASSO-SCIURBA & REDOELL. JOHN BaSSO: N. SCIUR3A, Sc J . T. REDDELL, 8O7 SUNSET BLVD., LOS ANGELES 12 A. V. PERKINSON, 1149 NORTH LAS PALMAS, LOS ANGELES, CALIF. STANTON REED CO. - HAROLD E. REED: FORREST STANTON: 8l6 W. 5 TM ST. LOS ANGELES 13, CALIF. P. J. WALKER CO., 39OO WHITESIDE ST., LOS ANGELES 6 3 , CALIF. BARUCH CORPORATION, 5655 WIL3HIRE 3LVD., LOS ANGELES, CALIF. ERNEST POTTS, FRED S. POTTS CO., 259 SO. BEVERLY DR., BEVERLY HILLS STEED BROS., 714 DATE AVE., ALHAMBRA, CALIF. BOYD H. GIBBONS, 640 SO. WALL ST., LOS ANGELES 14, CALIF. BUTTRESS Sc MC CLELLAN, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKER-EVANS CONTRACTORS, 6631 E. 26TH ST., EAST LOS ANGELES, CALI? JOHN A. KILARviUIST, 6l8 SO. WESTERN AV- , LOS ANGELES, CALIF. H. HAROLD JACKSON & WF. F. JACKSON, JACKSON nROS , 3^75 W. 6TH ST. LGS ANGELES, CALIF. ICUT 5 C. DUNN, INC., 681 MARKET ST., S-W Ff/AnCISCO, CAI,IF. HAROLD W. UNDERHILL, 4858 VALLEY RIDGE AVE., LOS ANGELES 43, CALIF. FLANK BEER, 2017 WILMONT, LOS ANGELES 7> CALIF. j:SEPH SCHUCK- SCHUCK CONSTR. CO., 1937 W. 2ND ST., LOS ANGELES 47 PARDEE CONSTR. CO., GEO. M. & G. M. PARDEE, JR., 10639 SANTA MONICA ELVD., LOS ANGELES 25,CALIF. C. L. PECK - C. 0. PECK Sc VIOLA CURTIS PECK, 407 ARCHITECTS BLDG., 816 W. 5TH ST., LOS ANGELES, CALIF. WOODROW FR/-.NKLYN LA REMORE, 1547 SO. MAiNiATT.-M PL., LOS ANGELES, CALIF. F. C. FREDERICKSON & C. E . KASLER - 212 13TH ST., SACRAMENTO, CALIF. PACE I TWAITS CO., LTD. 4 C. H. WITTENBERG ; TIv T S - V T T T E W L K CO., 507 SO* BIXEL, LO5 m a G h LES 17, C/vLIF. ROSS CONSTRUCTION CORP., 220^ if V;II"GTM n^ E 7 AJ?p N EL ` ' ESCHEBICK BROS., INC., 6L5 SO. a V e . 21, LOi AKw-u-S 31. CALI JACK A. WACHS 4 ALBERT 0. POPS SAM GERBER, C/0 EVRON, 6ll VENTURA .RLVD. , ENCtjiO, ^ LI 1 aUDRY A V E . F. J. TWAITS CO. & MORRISON-KNUDSEN CO., I^C. ,_ ^ 0 :30. BbAUDRY A LOS ANGEi-.ES 17, cAL-xr. WARREN DRIVER & CLARENCE DRIVER: DRIVER CONSTR. CO. , 10910 KINR0 ^ A.VE * LOS AN j h 2 y, -C-A-L-I^F . _n THORPE INSULATION CO.. S7L1 SO. YATES A V - _SOOSS mhNNGGEnLLEESS ? ' C. R. BRAUN c n 1000 SO. i*BEMONT AV;tr LHAMBRA, CALIF PUANE CORPORATI 0 4934 N. WALNUT GROV AVE., SAN GABRIEL, CALIF. ALBERT JOHN PAC/ 10410 PURBAn K b l v d ., NORTH HOLLYWOOD, CALIF. GEORGE A. FULLEE CO., 597 NADIS'3N A"VE., NEW YORK, NSW YORK EHRKSLEY PLYWQCl co., i`io KIDDLE HARBOR HD., OAKLAND 20, CALIF. U Z Z O CONSTRUCTION CO SIRGIL AVE., L-O-S -A-N-O-:1ES,- CAL,,IF. EUGENE MC DANIEL = MC Lm N xEL CONSTR. CO., 11040 AKERY AVE., SOUTH GATE, CALIF.^ HOLMES & NARVSR, 828 SO. FIGUEROA, LOS A N G L E S , CALIF. 2^18* M C K J. FRIEDMAN: ERNEST LEVINE: i.IP. * F. BRONSON, 933 SUNSET BLVD., LOS Z I E L E S l2 . S i TM ; D-LL E. WEBB CONSTR. CO., POX 4066, Pi.OE.,1^, ARIZONA G LORGB 0 GARTZ - GARTZ CONSTR. CO., 3908 h.TS3I0N RD., LOS ANGELES 31 n L. PECK CONSTR. 4 REALTY CO., 8l6 W . 5JH sr., LOS ANGpELLVEDS 17 J. WILLIAM TURPIN 4 W. H. CHRISTELE;, W ?"^ D A .. CAHILL BROS., MC.. 350 CALIF. THEBWM?TSIMPSON CONSTR.'CO., 2 M 1 9EVERLI BLVD. - ^ f pANGELES 57 8 M R n^SO -ETC S CRT BEACH CALIF. CONSOLIDATED WESTERN STE*U DIV. U. S. S.c-L^OORP. .^OX PETER KIEW IT SONS CO., PAYROLL DEPT., W g ^ O H A H A ^ A ^ B A N K ALDO., EDWARD M. P02ZC - EDWARD K. POZZO CO., 1052 W._5 TM ST., LOS ANGELES r nr'/nM pn in'-) SO ^ r TFO RN XA * SAN GAowIELt CAij*r GUy G l i M N S O N 'co!! AVE., Sa N FRANCISCO, CALIF. MACDONALD, YOUNG & NELSON, R W I M L R O a D ft7E.^ OAKLAND, CxL F. JACKSON INVESTMENT CO., C..RTLR Cn^CO.^R. CALIP. CROWN CONSTR. CO , 5059 W. PICO BLVD., LOS ANGELES, CALIF. ODELL 0. ATKINS, FOX 84. ANAHEIM, CALIF. LUSKEY ALUMINUM, INC., 'rNC SCX 516, GLEN AURNIE, MARYLAND 6215 SUNSET BLVD. <. KOLLj .Lj D 8 , CALIr. DOTI ENTERPRISES MEADOW ENT - f . "r' rnlT oC"-r jC ":c., PnLLADLUK 0 : LEON 3ALVIN, I1C2S^O^O RIVERSIDE DR. , NORTH 2040 NORTH AH_ D'j /w\Jbl . < -0-..K-rU 14 1^, -ri CS ST K. NEWBERG jST. CO. ANGELES 9 0 0 5 A-. CALIF. FIREMAN' FUND INS. CO., BOX 2323 L0S ATTN: HAROLD SHOOP PACIFIC INDEM. ^'n ., 3200 WILSHIRE EL7D . LOS 57S ANGELES, CALIF. LOS A w E L E S 9C055 NnTIONAL AUTOMOBILE & CASUALTY C O ., BO CALIFORNIA PACIFIC EMPLOYERS INSURANCE CO., 4050 WILSHIRE BLVD., LOS ANGELES ' CALIFORNIA EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, 35^* WILSHIRE BLVD., LOS ANGELES, CALIF. STATE COMPENSATION INSURANCE FUND, BOX 2134, LOS ANGELES 90054, CALIFORNIA GUARANTEE INSURANCE COMPANY, 1671 WILSHIRE BLVD., LOS ANGELES, CALIF. ARGONAUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS ANGELES, CALIF. CALIFORNIA COMPENSATION & FIRE CO., 3325 WIL3WIR2 3L;D., LOS ANGL - i S , CALIF. ALLIED COMPENSATION INSURANCE CO., 405C hlLSKtiE BLVD., LOS ANGEiHS , C \LIF . TRAVELERS INSURANCE CO., 4050 WILSHIRE "LVD., LOS ANGELES, CALIF. ZURICH INS. CO., 4465 WILSHIRE BLVD., L( S ANGELES, CALIF. caMERICh N MOTORISTS INSURANCE CO., 3545 WILSHIRE BLVD., LOS ANGELES CALIF., rtTTN: J. D, H.NDERSON LIBERTY MUTUAL " L " . 1 , 6006 WILSHIRE BLVD., [OS .'-.NGELbS, CALIF. TRANSPORT INDEE.ij.1' 1 , 3670 WILSHIRE BLVD., L J S / GELES, CALIF. Ha r t f o r d ac c i d e n t & i n d e m n i t y c o ., 548 so. spaing s t ., los ANGELES, CALIF. ENTERPRISE INSURANCE CO., - NOW MISSION INS. CO., 300 SO. HOBART, LOS ANGELES, CALI17. TRUCK INSURANCE EXCHANGE, BOX 2478, LOS bNOLLE3 5^, CALIF. CONTINENTAL CAS, CO., ir-75 WILSHIRE 3LVD. , LOb ANGELES, CALIF. WEINGAND, KENDIG. SLOG..'ELL & CALLANAN, Oil SO. CATALINA, ' LOS ..NOLIES, CALIF. CLOPTON & PENNY, 6;; SO. SPRING ST., LOS ANGELES, CALIF. ON II, GINOCCHIr i. TAYLOR, 541 SO. SPRING ST., SUITE 711, LOS ANGELES, CALIF. R. L. KAUTZ CO., 510 W. 6TH ST., LOS ANGELES, CALIF. mouser & dally, 510 w. 6th s t ., los An g e l e s , calif. EhRLY, MrtSLACH, FORAN & WILLIAMS, BOX 2478, LOS ANGELES 54, CALIF. ATTN: DONALD BRAUN ALL PARTIES SERVED APPLICATION: PAGE t y t April 17, 19#* Mr. B. P. Shriver Alexander Agency, Inc. 3l6 Fourth Avenue Pittsburgh, Pa. 15222 Dear Bev: Subject: Gus Addison vs C. L. Peck, et &1 Claim No. 63 L.A. 260-2k0 Enclosed is a Notice of Hearing in the above-captioned case. Sincerely yours, SLK Enclosure Wallace B. Hofferth Assistant General Manager Insurance Department INDUSTRIAL ACCIDENT COMMISSION STATE O? CALIFORNIA GUS ADDISON Applicant VS C. L. PECK, ET AL SEE ATTACHED APPLICATICI! ) NSTTCE t? HEARING ) )Case No. 63 L.A. 260-2^(3 ) ) Defendants You are hereby notified that an application for compensation (a copy r.f which is attached heroto) has been filed with the Industrial Accident Commission of the State of California. You are further notified that said application has been set for hearing at !*107 LOS ANGELES STATE OFFICE BUILDING, 107 SOUTH 3R0ADWAI . LOS ANGELES, CALIFORNIA .1 \ APRIL 22, 1964 9>00 A.M. HALF DAY and that at said time and place the Industrial Accident Commission of the State of California will proceed to hear and dispose of the said application in the manner prescribed by law. NOTEt The parties are expected to submit all issues in controversy for decision at this hearing; therefore, all necessary witnesses, evidence, documents, medical reports, payrolls, and other essential proof must bo available and ready for submission at the hearing. . DATED: LO ANGELES, CALIFORNIA APRIL /I 1964 INDUSTRIAL ACCIDENT COMMISSION By William Kaplan Anfiinfeant Secretary The undersigned certifies that as an employee of the Industrial Aocldent Commission she served the foregoing notice on the parties hereinafter mentioned, at the time set opposite their respective names, by depositing a copy of said notice attached to a copy or the apollcaticn therein mentioned, in a sealed envelope In ^he United States'mail on said day, at Los Angelos, California, with the postage thereon fully prepaid, and addressed to the said parties at .heir laat known places of business or residence, as follows, to wit; NAME AND ADDRESS OF PERSONS SERVED: SEE ATTACHED LIST FOR SERVICE: Farr'* * PI nek . 'v;;'1r' Kn TI '-I1' BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATS OF CALIFORNIA GU5 ADDISON Applicant )5 ) Case No. 63 L.A. 260-246 ) ) ' j ORDER JOININO ^rs ) ) PARTIES DEFENDANT C. L. PECK, ET AL (SEE ATTACHED ) APPLICATION) - AND - PACIFIC INDEMNITY COMPANY, A CORPORATIONJ NATIONAL ) f AUTOMOBILE AND CASUALTY COMPANY,.A ) i CORPORATIONt PACIFIC EMPLOYERS ) INSURANCE COMPANY, A CORPORATION: ) EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, A CORPORATION 1 ( STATE COMPENSATION -INSURANCE FUND: ( GUARANTEE INSURANCE COMPANY, A CORPORATION* ARGONAUT INSURANCE ( COMPANY, A CORPORATION* CALIFORNIA . COMPENSATION AND FIRE COMPANY, A ' CORPORATION; ALLIED COMPENSATION ( INSURANCE COMPANY, A CORPORATION* ( TRAVELERS INSURANCE COMPANY, A < CORPORATION: ZURICH INSURANCE COMPANY, A CORPORATION* AMERICAN < MOTORISTS INSURANCE COMPANY, A CORPORATION* LIBERTY MUTUAL INSURANCE COMPANY, A CORPORATION: TRANSPORT ) INDEMNITY COMPANY, A CORPORATION; ) HARTFORD ACCIDENT AND INDEMNITY ) COMPANY, A CORPORATION* ENTERPRISE ) INSURANCE COMPANY, A CORPORATION* ) (NOW MISSION INSURANCE COMPANY): ) TRUCK INSURANCE EXCHANGE, AN INTER- ) INSURANCE EXCHANGE* CONTINENTAL ) CASUALTY COMPANY, A CORPORATION: ) ( , . ' ' . . . Defendanta ) GOOD CAUSE APPEARING THEREFOR; TT IS HEREBY ORDERED THAT * PACIFIC INDEMNITY COMPANY, A CORPORATION NATIONAL AUTOMOEILE AND CASUALTY COMPANY, A C ^ p ^ ^ S NMUrJALIFIG EMPLOYERS INSURANCE COMPANY, A CCmPO.^ ION: ^MP^YERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCOr^IN, A COhPOP^TION. STATE COMPs'11GABION INSURANCE FUND* GUARANTEE INSURANCE COtuANY, a ?oS>5SkTION: ASOOMTO INSURANCE COMPANY, A CORPORATION; CALIFORNIA COMPENSATION AND FIRE COMPANY, A CORPORATION : ALLIED COMPENSATION INSURANCE COMPANY, A-CCriPOP^TirN INSURANCE COMPANY ; A CORPORATION: ZURICH INSURANCE O^AN*, A CORPORATION : AMERICAN MOTORISTS INSURawct. LIBERTY MUTUAL INSURANCE COMPANY, A CORPORATION: INDEMNITY COMPLY, A CORPORATION: HARTFORD ACCIDENT Ai,D .ND-- JITY rr *oavv A rv^ppCOATION 1 ENTERPRISE INSURANCE COMPANY, A EXCHANCE, AN INTER-INSURA XCD EXCKANOE ` COMPANY, A CORPORATION: S .A-j.- be joined aa parties defendant In the above entitled cause. 'NilHam Vapian INDUSTRIAL ACCIDENT COMMISSION GUS ADDIS N, 1302 W. 42 `ID ST., LOS ~..VG LEES 90037, ;ALIP. LEVY, DEH' Y , G hi-PNLR, .'.D.i~DN OLOv. , 1520 Il SLIR:. BLVD* L.A. DONALD F. SHAW, 1901 BLAKE AVE. i LOS ANGELES 90029, JALIF. C. L. PECK, 223 H. W. Hr.LEMAN PEDO., 354 SO. SPRING ST., LOS ANGELES R. .T. DAUM, 6803 WEST LLVD, , INGL..CCD, CALI?. GORELNIK CO., 117 SO. POINSLTIA PL., LOS ANGELES, CALIF. FORD J. TWAITS, EDNA TWAITS it J. TW.iITS: TWAITS COMPANY, 449 SO. BEa 'JDRY, LOS ANGELES 17, CALIF. R. E. CAMPBELL, 316 E. WEBER, COMPTON, CALIFORNIA STILES 0. CLEMENTS it ROBERT E. MILLS*?, 1135 VAN NUYS BLDG., 210 W. ?TH ST., LOS ANGELES, CALIF. ALCO CONSTRUCTION CO., 5423 FLEMISH VILLAGE LANE, LOS ANGELES, J. K. THOMAS it THEODORE A. BEYER COR?., 1161 30. BROADWAY, UM. 53.-' LOS ANGELES, CALIF. N. M. CALHOUN, 845 NORTH HIGHLAND AVE., LOS ANGELES, CALIF. J. E. BURRELL & SONS, 522 SAN FRA,''CISCO ATE., LONG BEACH 12, CALIF. LEONARD B. CARTER, 121;4 GREEN AVE., VENICE, CALIF. J 4 B CONSTRUCTION CO. INC.., 9171 WIL3HIR2 BLVD. , BEVERLY HILLS L , C. NESSEP, 4822 W. JEFF'S?SON ST., LOS ANGELES, CALIF. AETNA CONSTRUCTION CO., 6?J SO. WITMER ST., LOS ANGELES, CALIP. PARKHILL WADE, 1625 SO- ALA/EDA ST., LOS ANGELES, CALIF. /. C. 3EGGS, 2122 BERKLEY LOS ALCELES, CALIF. /SANT RUBBER it ASBESTOS WORKS, 53 7 3R.CNAN ST., SAN FRANCISCO, CALIF. '-IN N. SCHLEWE, > 1 NORTH PULLER AVE., LOS ANGELES, CALIF. LITE'S INC., 1540 BROADWAY, NEW YORK, NEW YoRK PF.PU3LIC PRODUCTIONS, INC., 4024 RADFORD AVE., NORTH HOLLYWOOD, CALIF KLNDET CORK CORP., 6 SO. 11TH ST., BROOKLYN, NEW YORK DAVIES it KEUSDER: M. M. DAVIES: W. W. KEUSDLR & 0. P. BROWN, 1163s /. LARCHMOKT, LOS ANGELES, CALIF. ARMSTRONG CORK CO., LIBERTY A CHARLOTTE STS., LANCASTER, CALIF-. MARINE ENGINEERING & SUPi l.Y (.0., 941 E. 2ND ST., LOS ANGELES 12 . CECIL WITT, 6627 SO. WILTON PL., LOS ANGELES, CALIF. POZZO CONSTRUCTION CO., 2403 RIVERSIDE DR., LOS ANGELES, CALIF. ROY KASHNER, ROY KASHNER CO., 704 SO. SPRING ST., LOS ANGELES, CALIF. W. E. ROBERTSON CO., WALTER E. ROBERTSON it MAX MALTZMAN, 4015 WEST JEFFERSON, LOS NOELES, Ch LIF. C. W. DRIVER, INC., 2613 TEMPLE ST., LOS ANGELES 26, CALIP. BASSO-SCIUREA it REDDELL, JOHN BASSO: N. SCIURBA, & J. T. REDDELL, 807 SUNSET BLVD., LOS ANGELES 12 A. V. PERKINSON, 1149 NORTH LAS PALMAS, LOS ANGELES, CALIF. STANTON REED CO. - HAROLD E. REED: FORREST STANTON: 8,l6 W. 5TH ST. LOS ANGELES 13, CALIF. P. J. WALKER CO., 3900 WHITESIDE ST., LOS ANGELES 6 3 ,' CALIF. BARUCH CORPORATION, 5655 WIL3HIRE BLVD., LOS ANGELES, CALIF. ERNEST POTTS, FRED . POTTS CO., 259 50. BEVERLY DR., BEVERLY HILLS STEED BROS.', 714 DATE AVE., ALHAMBR*, CALIF. BOYD H. GIBBONS, 640 SO. WALL ST., LOS ANGELES 14, CALIF. BUTTRESS it MC CLELLAN, INC., 6456 YORK BLVD., LOS ANGELES 42, CALIF. SHUMAKER-EVANS CONTRACTORS, 3 I S. 26?H ST., EAST LOS ANGELES, CALIF JOHN KILAB^UJ.ST, 6l8 SO. WESTERN AVE ,t LOS ANGELES, CALIF H. HAROLD JACKSON & NM. F. JACKSON, :P.03 , W. 6TH ST. o ITTCi', C'AIT F. ICUTS C. DUNN, INC., 681 MARKET ST. SON FFA'/CISCO , C A M P . F '.HOLD W. UNDERFILL, 43 58 VALLEY RIDGE AVE., LGS ANC! 43, CAL1J FLANK BEER, 201? WILMO/T, LOS ANGELES 7 , CALIF. J/'-'EPH SCHUCK- HUCK C0N3TR. CO., 1937 W. 6"2"ND ST., L03 ANGELES 47 PARDEE CONSTB. M. G. M. PAR. JR. ,r10r-*639 r' : BLVD. La.')3 ANG iIjl/O y C. L. PECK - C. 0.. WOODROW FRAUKLYN U F . C . FREDERICKLON VIOLA CURTIS DECK, 407 ARCHI? 8l6 W. 5'TH ST. , LO S ANGELL 3 , C A L I F . E, 1547 20. V ;TV _ 2MA1iv?HA1T3?.T-H.NSTP.L .,,JrdL-LO*Snn*AMNENGTEOL.ESC, ACLAI FL.IF . PAG TUt\ i i. S u0 ., LTD Je AVa' H. rtITT.-..,UKH3 . T' . fT''_V IT RERO CO., 50? s o . e i .*d 17, CALIE. ROLS CONSTR 'CTION COEP., 2 C7 ! ,1KN IivC i--.i VE., LOS ANGELES, 64 CHARLES R. -NSLE, 2515 ALE..:1 WnY , AHCn Din C 'L1F iNL-NnNVI ,.LE SnLES CORP., 22 En ST 40 TH ST [ NEW YCRK l6, NEW YORK ESCHERICK BROS., INC., 6*5 SC. AVE. 21, LOS ANGELES 31, CALI?. JACK A. WACHS ALBERT 0 *.O P OVD < -. -- J. A, POST CONSTR . CO., 2507 E. IMI ERIAL, LOS AEGtLES, CALI?. SAM GERBER, C/O EVRON, 6ll VSNT'JEA .PLVD. , KNCILO, CALIF. F. J, TWAITS CO. & MOBRISOH-KNUDSEN CO., INC., LA0 SO. BEAUDRY AVE. LOS ANGELES 17, CALIF. WARREN DRIVER & CLARENCE DRIVER: DRIVER CCNSTR. CO.*, 10910 KINROSS AVE. , LOS ANGELES 24, CALI?. THORPS INSULATION CO.. 2"4? SO. YATES AVE., LOS nNGELES 22, CALFF. C. R. BRAUN ft CC. 1000 SO. i*EEMONT AVE .LHAM3RA, CALIF. RUANE CORPORATI Ci;, 4934 N. Wm LNUT GfiOVZ AVE., SIN GABRIEL, CALIF. ALBERT JOHN PACI L, 10410 PUREa w K BLVD. , NOFTH HOLLYWOOD, CALIF. GEORGE A. FLLE" CO., 5 9 1 MADISON AVE., NEW YORK, NEW YORK tr.hXELEY PLYWOOD CO., l 'io: `IDOLE H ARBOR SD., OA KLAND 20, CALIF. i'.ZZO CONSTRUCTION C O ., 'i M R G I L AVE., LOS ANGL'.ES, CALIF. EUGENE MC DANIEL MC UNIE:. CONSTR. CO., 11040 AMERY AVE. , SOUTH GATE, C/'LIF. HOLMES NARVER, 828 SO. FGUSROA, LOS ANGELES, CALIF. MACK J. FRIEDMAN ERNEST LLVINE CONTRACTOR ENGINEERS CO., 231 W. VERNON, LOS ANGELES, CALIF. F. 3RONSON, 933 SUMSET 3LVD., LOS ANGELES 12, CALIF. DELL E. WEBB CONSTR. CO., FOX 4066, PHOENIX, ARIZONA GEORGE 0. CARTZ - Ga RTZ CO".STR. CO.. 3903 MISSION RD. LOS ANGELES 31 C. L. PECK CONSTR. Je REALTY CO., 616 W. 5TH ST., LOS ANGELES 17 J. WILLIAM TURPIN W. H. CHRISTENSEN, 10323 SEPULVEDA BLVD., SAN FER Ar.DO, CALIF. CAHILL BROS., IC. , 350 Sn .SOME ST., S.-.N FRANCISCO, CALIF. GLOBE STEEL SUPPLY CO., 1)13 S. 6TH ST., LOS ANGELES 21, CALIF. THE WM. SIMPSON CONSTR. CQ., 2401 BEVERLY BLVD., LOS ANGELES 5? DAVID W. GORDON, 3844 OIRARD AVE., CULVER CITY, CALIF. HARDWICK & SON, IN( 1 1 C 1 Lni.E, NEWPORT BEACH, CALIF. CONSOLIDATED WESTERN STEEL- DIV. U. S. STEEL COR?., BOX 2015, LOS ANGELES 54, CALIF. PETER KIEWIT SONS CO., PAYROLL DEPT., 1024 OMAHA N A T L BANK BLDG., OMAHA, NEBRASKA EDWARD M. POZZC - EDWARD M. POZZO CO., 1052 W. 6TH ST., LOS ANGELES L. E. DIXON CO., 409 SO. CALIFORNIA, SnN GABRIEL, CALIF. GUY T. ATKINSON CO , 10 W. (RANGE AVE., SAN FRANCISCO, CALIF. MACDONALD, YOUNG A NELSON, 8y07 RAILROAD AVE., OAKLAND, CALIF. JACKSON INVESTMENT CO., CARTER CO. CONTR. & DEVELOPERS, 2975 WILSHIHE BLVD., LOS ANGELES, CALIF. CROWN CONSTR. CO., 5059 w. PICO BLVD., LOS nNGELES, CALIF. ODELL 0. ATKINS, BOX 84, ANAHEIM, CALIF. LUSKEY ALUMINUM, INC., BOX 516, GLEN HURNIE, ' MARYLAND DOTI ENTERPRISES INC., 6215 SUNSET BLVD., HOLLYWOOD 28, CALIF. MEADOW ENTS? PRISES INC., PALLA DLUM C ;n s a l v i n , roslo RIVERSIDE DR., NORTH *.-.L''W01l., L O F . GUST K. NEWBERG C ' : * ST. CC., 2040 NV:ii rPV Aw .C>D AVE. , Ci'."CAGO 14, FIREMAN'S FUND INS. C C ., BOX 2323. LOS .ANGELAIS 9005*1 , C L I F . ATTN: HAROLD SHOOP ILL. PACIFIC INDEM. CO., 3200 WILSHIHE BLVD ,, LOS ANGELES, CALIF. . W I G N A L AUTOMOBILE, & CASUALTY CO., BOX 5?. LO 3 A 'GELES 9COA5 CALIFORNIA PA~E II PACIFIC EMPLOYERS INSURANCE CO., kO-50 WILSHIRE BLVD. , LOS ANGELES ' CALIFORNIA EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, 35^ WILSHIRE BLVD., LOS ANGELES, CALIF. STATE COMPENSATION INSURANCE FUND, BOX 213L, LOS ANGELES 900$^, Pi fTPOPKJT GUARANTEE INSURANCE COMPANY, l 6 ? l WILSHIRE BLVD., LOS ANGELES, CALIF. ARGONAUT INSURANCE CO., 1001 WILSHIRE BLVD., LOS ANGELES, CALIF. CALIFORNIA COMPENSATION FIRE CO., 3325 WILSHIRE BL/D., LOS ANGELES, CALIF. ALLIED COMPENSATION INSURANCE CO., LO50 wIESFIHE BLVD., LOS ANGSi-ES, C aLI F . TRAVELERS INSURANCE CO., LO50 WILSHIRE n LVD., LOS ANGELES, CALIF. ZURICH INS. CO., ^ 6 5 WILSHIRE BLVD., L( S ANGELES, CALIF. AMERICAN MOTORISTS INSURANCE CO., 35?+5 WILSHIRE BLVD., LOS ANGELES CALIF., ATTN: J. D. HPNDERSON LIBERTY MUTUAL "I"'. "U . ^006 TRANSPORT INDEMNITY U , 3670 Hartford accident & indemnity WILSHIRE BLVD., LOS aXGEL&S, WILSHIREBLVD., U S A: GELES, :o ., 5L8 so. s p p i n o s t ., l o s ANGELES, CALIF. CALIF. CALIF. ENTERPRISE INSURANCE CO., - NOW MISSION INS. CO., 300 SO. HOBART, LOS ANGELES, CALI*. TRUCK INSURANCE EXCHANGE, BOX 2L?8, LOS ANGELES 5^ CALIF. CONTINENTAL CAS. CO., P U 5 WILSHIRE BLVD. , LOS ANGELES, CALIF. WEINGAND, KENDIO, S T O C U E L L CALLANAN, M l SO. CATALINA, LOS aNGC.LKS, CALIF. CLOPTON 4 PENNY, 633 SO. SPRING ST., LOS ANGELES, CALIF. ZONNI, GINOCCHIO &TAYLCR, 5<U1 SO. SPRING ST., SUITE 711, LOS ANGELES, CALIF. R. L. KAUTZ CO ., 510 W. 6TH ST., LOS ANGELES, CALIF. MOUSER DrtLLY, 510 W. 6TH ST., LOS ANGELES, CALIF. EARLY, MASLACH, PORAN & WILLIAMS, BOX 2^?8, LOS ANGELES 5^, CALIF. ATTN: DONALD'BRAUN ALL PARTIES SERVED APPLICATION? P'GE III court i-ozie Ca b l e A o o r c s s A l c x c a n o T e L e r r p e PG 8 9 1 A LE X A N D E R AGENCY, INC. INSURANCE-W O RLD WIDE SINCE 185 3 316 FOURTH AVENUE PITTSBURGH, PA. 15222 February 27, 1^0*1 (Thursday) Mr. Wallace R. Hofferth Insurance Departrent Arnstrong Cork Company \ Iancaster, Pennsylvania Dear Wally: Re : Ous Addison I have sent- the papers on to our Los Angeles Office for their attention. PRS:ch Very truly yPOrs, 7 rn / Beverly R. Shriver / : / / y f` k' } OUR SrCO NQ CENTURY OF INSURANCE SERVICE February 26, 196h Mr. B. R. Shriver Alexander Agency, Ine. 316 Fourth Avenue P i t t s b u r g 22, Pa. Dear Bev: Subject! Ous Addison vs Donald F. Shaw, et al Injury Date! 19*0. to 1963 IAC Nuaberi 63 LA 20-2+0 / We have been named aa an additional deforciant In the above-titled action. A copy of the Application filed with the California Industrial Accident Conanisaion and a listing of the defendants and their insurance carriers are enclosed. This constitutes our first notice of this claim. The claimant alleges employment with Armstrong Cork Company in 19W . Unfortunately, ve cannot confirm this employment since ai i records for this period have been destroyed. Ihe Standard Accident Insurance Company vas our insurer in 19V*. Will you please pass the e n d o e e d papers on to the Standard vith the request that it take whatever action is necessary to properly protect our interest. Sincerely yours SLK Enclosures Wallace B. Hofforth Assistant General Manager Insurance Department ABE F. LEVY GEORGE DCROY LEO GEFFNER JA C K P. KO SZDIN M ERVIN N. G LO W ARLFIIG H W OODS BARRY SAT7MAN GERALD J. TILH N AN RIC HAR D J. C AN TR ELL EUGENE LEVITO N EDW ARD M. M IZR A H I HENRY P. NELSON D A V ID L. ROSNER SAM U EL Z. W IN N IK O FF W ALTER K LE IN HARVEY R. GERBER JEROME S. B IL L . " VERNON G C LC j C H h ID ERNEST SROLOFF LA W OFFICES L e v y , D e R o y , G e f f n e r , K oszdlst, & s u it e a o i IS 2 0 W lLS H IR E BOULEVARD LOS AN G ELES 17, C A LIF O R N IA T u V H O N t: H U llA K O 3 -9 0 3 0 <0 G low February 19, 1964 i / Industrial Accident Commission 4107 State Building Los Angeles 12, California , c G>` A Re: Gus Addison vs. Donald F. Shaw, et al Injury Date: 1941 to 1963 I.A.C. Number: 63 LA 260-240 Gentlemen: On October 29, 1963, we filed the above numbered claim on behalf of the applicant for injuries sustained in 1941 to 1963. On the basis of in formation obtained by this office from the records of the Social Secu rity Administration and the California Inspection Rating Bureau, we respectfully request that the additional employers and their workmen's compensation carriers, as appear on the attached list, be joined as party defendants to the above claim, for the period of employment indi cated. We are this date serving these employers and carriers with a copy of the application filed and by service thereof request that they serve upon us their medical file in this matter. We respectfully request that this claim be set for one half day hear ing at the Commission's offices in Los Angeles. Thank you for your cooperation in this matter. . . Very truly yours, LEVY, DeROY, GEFFNER, KOSZDIN & GLOW BY: VERNON GOLDSCHMID " ^ V G :jfn cc: Copy of letter and application with list sent to attached employers and carriers. STATE OF CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES (PLEASE PRINT OR TYPE NAMES AND ADDRESSES) . U !!>-- i\i1-1`Ji)d imicT- vs. linoni CASE NO. 3 LA 260-240 130? v:nn.tL-A2nd-S.trcct---- " APPLICANT 1 A O O *t * _Lo6--A-rtr;-e-lo6--3-7i-- Oali fopn-la- Social Security No. ...32(1-- & d l 2 " linoni aoosiss -GJ. 111 A.XT >iC '.El I*Xw u n o n r i ih s v o a h ii * > IH SU SAH C I C A . . I I I 0 0 ! iil ,_9/ 2 4 / C a _ .liege* that while employed o n ^ U - - ^ -- 19-^r-03 1. Ui. M i l Of IH flO T S I O A T t OP B O T M _ ___________ California, by l i 1-. _corptintcr.. .... O CCUPATION AT T IM * OP INJOOP SiX^TT4GtL0-LI^I- _____a t...................... rriowM fl.CHIM IXJU.tecu..10 of and in the course of the employment, as follows: __,...he sustained injury arising out NAMC OP I M P I O T I ..resulting in o v n A niiro tCl aawduiib a n d -- d u a t -- T ln .J U P V A IN HOW IN J WPT W A t I C H V I O ----------------------- |t4i| #M , Yhjum. * ....................was the employer's insurance earner on date of injury. 2. G-- 0 . . O f I H . U . . H M C O H .A H T . . I f I . f i o . . . . . o t fl.1 0 0 . O ff * 0 . OUI T T I t . a ittf-i.su.io 0 . U . I . S U . . 0 ' D A T I IH JU S IO C T U ..1 0 TO W O .I 0 T I LAST m D IC A L fU IH IS H IO 4 Was compensation paid?-- JiU---- in H " ^ . ik k n O A T I op c a s t P A TN fN T 5. Earnings at time of injury % ............. ...... The BOOTH 00 SKS k : h. ^ ... * * 1 1 Yi?r> _ Who furnished treatment?-- 6. Was medical treatment needed/-- .a...... ............... IH J U .T ANO S T A T I WHO fA IO T H S I. ILLS n n HA O f S Of O C T O .S H O T O S A T I# THS 7. This application is filed to determine liability fori a. Temporary disabihtyJ.{, b. Permanent disability^ c. Med.cal treatment...* * d. OM NO c. Litigation expense.. S^.-- f. -- A h h --v h . v ^8th7 masoV" ' .. ... . LIST CA*A - - * , * , j U I f fired Ior bearing and that an award be made granting tucb rehef a, may W HEREFORE, it ii requested that a time and place fi f proper under the Workmen'1 Compensation L - u W ----- California, - - f e b r u a r ^ l ^ I ^ V Hearing requested at---- LOd-Afi^eiiedNumber of witnesses-- --------- -- -------- - * Estimated time of trial- APPLICANT i A I4 N A T U ** Gi. ALD'XiJLfli L:.', cl AuY, CirMd'i, r,0Gelili . . . - 'O --cvrbrT^-.. .-"7` APPLICANT a TTOAHI j . 3 ^ 0 ..i l c i i i r o o o u io v a ru _ L og A n /-'ics 17 Galli e rnia L ^ Y t T O IH S T S A O O S fIS HO T iL IfH O H S H U H . I I /ip/c4 Copies servod on: 6LL Ai'/iu ...D LIg : Xf T(-- PU** 4'* "*" f <,T <*<'** ( I t i it IM * ' (Wit' 0* T C O N V I N ' I N T CtTY u (t .AtOF-1.*- ** t 184M1K S e 11 a lata , c a t 11 0 u t . C M - o - . i . t- * aoe.t.o- 0 -I 0.aaaii./.vio t '*-'*"k'...... !.LeV.* .a " 01 0* * 1a Aa g t n t T1 * f l a c i of a * > f . * IP f o M ' * l * " til OF 11 H t t t l t II F C C I t TO at a a L a AT 0 ( OF Tt> CLAIM IN C O a T A O T H I T W<s AFFV.CA. " ------ ------ - - .... . ** CD afo FONAI 34 (NEV !) THE DEFENDANTS IN THE GUS ADDISON CASE DATE OF INJURY: 1941 to 1963 FMPT.nVF.R PD. OF COVERAGE ANDi EMPLOYMENT 1. Co L. Peck 223 H. Wo Heilman Bldg. Los Angeles, California 12/31/41 2. R. Jo Daum 6803 West Boulevard Inglewood, California 3/31/42 6/30/42 3. Gorelnik Company 117 South Poinsetta Place Los Angeles, California 3/31/42 4. Ford J. Twaits, Edna M. Twaits & J. Twaits . Twaits Company 449 South Beaudry Los Angeles 17, California 3/31/42 to 12/31/42 5. B, E. Campbell 316 East Weber Compton, California 6/30/42 9/30/42 6. Stiles 0. Clements & Robert E. Millsap 1135 Van Nuys Bldg. Los Angeles, California 6/30/42 7. Alco Construction Company 5423 Flemish Village Lane Los Angeles, California 6/30/42 8. J. K. Thomas & Theodore A. Beyer Corporation 1151 S o . Broadway, Rm. 533 Los Angeles, California 6/30/42 9. N. M. Calhoun 845 North Highland Avenue Los Angeles, California 6/30/42 3/31/43 10. J. E. Burrell & Sons 522 San Francisco Avenue Long Beach 12, California 6/30/42 11. Leonard B. Carter 12134 Green Avenue Venice, California 3/31/42 12. D & B Const. Co., Inc. 9171 Wilshire Boulevard Beverly Hills', California 9/30/42 3/31/43 13. E. C. Nesser 4822 West Jefferson St. Los Angeles, California 9/30/42 CARRIER No record No record No record No record No record No record No record No record No record No record National Auto. & Cas. Ins. Co a corp. P. 0. Box 5780 Los Angeles 55, California National Auto. & Cas. Ins. Co a corp. P. O. Box 5780 Los Angeles 55, California -2- EMPLOYER PD. OF COVERAGE AND EMPLOYMENT 14. Aetna Construction Co. 631 South Witmer Street Los Angeles, California 9/30/42 15. Parkhill Wade 1625 South Alameda Street Los Angeles, California 3/31/43 to 9/30/43 9/30/52 12/31/52 16. W. C. Beggs 2122 Berkeley Avenue Los Angeles 26, California 9/30/43 17. Plant Rubber & Asbestos Wks. 9/30/43 537 Brannan Street 12/31/43 San Francisco, California 6/30/44 9/30/44 18. Ben N. Schlewe 361 North Fuller Avenue Los Angeles, California 12/31/43 19. Loew's Incorporated 1540 Broadway New York, New York 12/31/43 20. Republic Productions, Inc. 4024 Radford Avenue North Hollywood, California 3/31/44 3/31/46 9/30/46 21. Kndet Cork Corporation 65 South 11th Street Brooklyn, New York 6/30/44 22. Davies & Keusder M. M. Davies, W. W. Keusder and G. P. Brown 116*5 North Larchmont Los Angeles, California 3/31/44 6/30/44 *^23. Armstrong Cork Company Liberty & Charlotte Streets Lancaster, Pennsylvania 6/30/44 24. Marine Engineering & Supply Company 941 East Second Street Los Angeles 12, California 9/30/44 12/31/44 3/31/45 6/30/45 25. Cecil Witt 6227 South Wilton Place Los Angeles 44, California 6/30/45 to 12/31/45 6/30/46 26. Pozzo Construction Company 2403 Riverside Drive Los Angeles 26, California 12/31/45 CAR:HER No record No record No record Pacific Employers Ins. Co a corp. 4050 Wilshire Boulevard Los Angeles 5, California No record No record No record No record No record No record No record No record No record -3 - EMPL03 ER PD. OF COVERAGE AND EMPLOYMENT 27. Roy Kashner Roy Kashner Company 704 South Spring Street Los Angeles 14, California 12/31/45 3/31/46 28. W, E. Robertson Company Waiter E,, Robertson & Max Maltzman 4015 West Jefferson Bivd. Los Angeles 16, California 3/31/46 29. C. W,, Driver. Inc. 2618 Temple Street Los Angeles 26, California 3/31/46 9/30/51 12/31/51 6/30/53 9/30/53 30. Basso-Sciurba Reddell John Basso. N. Sciurba i< J. T. Reddell 807 Sunset Boulevard Los Angeles 12, California 3/31/46 31. A. V. Perkinson 1149 North Las Palmas Los Angeles 38, California 9/30/46 3/31/47 32. Stanton Reed Company Harold E. Reed Focrest Stanton 816 West Fifth Street Los Angeles 13, California 6/30/46 9/30/46 3/31/47 to 12/31/47 3/31/48 to 12/31/48 12/31/49 3/31/50 33. P. j. Walker Company 3900 Whiteside Street Los Angeles 63, California 6/30/48 9/30/53 34. Baruch Corporation 5655 Wilshire Boulevard Los Angeles 36, California 3/31/48 35. Ernest Potts Fred E. Potts Company 259 South Beverly Drive Beverly Hills, California 6/30/48 36. Steed Bros., a corp. 714 Date Avenue Alhambra, California 12/31/48 37. Boyd H. Gibbons, a corp. 640 South Wall-Street Los Angeles 14, California 3/31/49 38. Buttress McClellan, Inc. 6456 York Boulevard Los Angeles 42, California 3/31/49 6/30/49 CARRIER No record No record No record Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California No record No record t No record No record No record No record No record No record Pacific Employers Ins. Co a corp. 4050 Wilsh.re Bou" a^d Los Angele-, 5, C a n i o r n i a -4- EMPLOYER PD. OF COVERAGE AND EMPLOYMENT 39. Shumaker-Evans Contractors 6/30/49 a corp. 6631 East 26th Street _ E. Los Angeles 22, California 40. John A. Kilarquist 618 South Western Avenue Los Angeles 5, California 6/30/49 9/30/49 41. H. Harold Jackson & 9/30/49 Wm. F. Jackson, Jackson Bros 3475 West Eighth Street Los Angeles 5, California 42. Louis C. Dunn, Inc. 12/31/49 681 Market Street San Francisco 5, California 43. Harold W. Underhill 4958 Valley Ridge Avenue Los Angeles 43, California 12/31/49 44. Frank Beer 2017 Wilmont Los Angeles 7, California 6/30/50 45. Joseph Schuck Schuck Construction Co. 1937 West 62nd Street Los Angeles 47, California 6/30/50 46. Pardee Construction Co. 6/30/50 George M. & G. M. Pardee, Jr to 10639 Santa Monica Blvd. 12/31/50 Los Angeles 25, California 47. C. L. Peck C. L. Peck & Viola Curtis Peck 407 Architects Building Los Angeles 13, California 3/31/51 to 9/30/51 48. Woodrow Franklyn Laremore 1547 South Manhattan Place Los Angeles 19, California 12/31/51 49. F. C. Frederickson & C. E. ' Kasler Frederickson & Kasler 212 13th Street Sacramento, California 50. Twaits Co. Ltds. & C. H. Wittenberg Twaits Wittenberg Company 507 South Bixel Los Angeles 17, California 12/31/51 3/31/52 3/31/52 to 9/30/52 6/30/55 51. Ross Construction Corp. 2207 Lir.nington Avenue Los Angeles 64, California 12/31/52 3/31/53 6/30/57 CARRIER No record No record No record Argonaut Ins. Co., a corp. 1001 Wilshire Boulevard Los Angeles 17, California No record No record No record No record No record No record No record No record No record National Auto. & Cas. Ins. Co., a corp. P. G .Box 5780, L .A. 55, Calif. Calif.ComD. & Fire Co., a corp. 3325 Wilsnire Qlvd., L.A. 5, Cali PMDT r'VFR -- '' " 52. Charles R. Hensley 2515 Albert Way Arcadia, California -5 - PD . OF COVERAGE AND EMPLOYMENT ` 12/31/52 3/31/55 12/31/59 53. John Manvilie Sales Corp. 22 East 40th Street Hiew York 16, New York 54. Escherick Bros. Inc. 645 South Avenue 21 Los Angeles 31, California 3/31/53 3/31/53 9/30/57 55. Jack A. Wachs & Albert 0. Pops J. A. Post Construction Co. 2507 East Imperial Los Angeles 59, California 3/31/53 56. Sam Gerber 23643 Emelita Street Woodland Hills, California 3/31/53 57. F. J. Twaits Co. & Morrison Knudsen Company, Inc. 440 South Beaudry Avenue Los Angeles 17, California 6/30/53 58. Warren Driver & Clarence Driver Driver Construction Company 10910 Kinross Avenue Los Angeles 24, California 9/30/53 59. Thorpe Insulation Co. a corp. 2741 South Yates Avenue Los Angeles 22, California 9/30/53 50. C. F. Braun & Co., a corp. 1000 South Fremont Avenue Alhambra, California 12/31/53 3/31/54 to 9/30/54 51. Ruane Corporation 4934 N. Walnut Grove Ave. San Gabriel, California 9/30/54 12/31/54 >2. Albert John Pacal 10410 Burbank Boulevard No. Hollywood, California 12/31/54 .3. George A. Fuller Company 597 Madison Avenue New York, New York 3/31/55 6/30/55 6/30/60 CARRIER No record Allied Comp. Ins. Co., a corp. 4050 Wilshire Boulevard Los Angeles 5, California Travelers Insurance Co., a corp. 3600 Wilshire Boulevard ' Los Angeles 5, California No record State Compensation Insurance P. 0. Box 2134 Los Angeles 54, California Fund No record No record No record No record Fireman's Fund Ins. Co.,a corp. 3223 West 6th Street Los Angeles 54, California American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California American Motorists Ins. Co. a corp. 3545 Wilshire Boulevard Los Angeles 5, California Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California Industrial Indemnity Co.,a c^rp. Box 22 52 Los Angeles 54, California -b- EMPLOYER ~ PD- OF COVERAGE AND EMPLOYMENT 64. Berkeley Plywood Co., a corp. 1401 Middle Harbor Road Oakland 20, California 3/31/55 65. Pozzo Const. Co., a corp. 970 Virgil Avenue Los Angeles 29, California 6/30/55 9/30/55 66. Eugene McDaniel McDaniel Construction 11040 Amery Avenue South Gate, California 6/30/55 67. Holmes & Narver, a corp. 828 South Figueroa Los Angeles 17, California 6/30/55 12/31/55 3/31/56 6/30/56 68. Mack J. Friedman, Ernest 9/30/56 Levine Contr. Engineers Co. 12/31/56 2310^ North Vernon Los Angeles 8, California 69. F. Bronson 933 Sunset Boulevard Los Angeles 12, California 12/31/56 70. Dell E. Webb Constr. Co., a corp. P. 0. Box 4066 Phoenix, Arizona 3/31/57 71. George 0. Gartz Gartz Construction Co. 3908 Mission Road Los Angeles 31, California 12/31/57 72. C. L. Peck Construction & Realty C o . , a corp. 816 West Fifth Street Los Angeles 17, California 12/31/57 3/31/58 73. J. William Turpin & W. H. Christensen 10823 Sepulveda Boulevard San Fernando, California 6/30/57 74. Camill Brothers, Inc. 350 Sanbone Street San Francisco 4, California 3/31/58 75. Globe Steel & Supply Co. 1313 East Sixth Street Los Angeles 21, California 6/30/58 76. The Wm. Simpson Const. Co., a corp. - 2401 Beverly Boulevard Los Angeles 57, Cai 1 !uriua 9/30/58 12/31/58 lii 1`t '} CARRIER Liberty Mutual Ins. Co. , a corp.. 6006 Wilshire Boulevard Los Angeles 36, California Transport Indemnity C o . , a corp. 3670 Wilshire Boulevard Los Angeles 5, California No record Hartford Accident & Indemnity Co a corp. 548 South Spring Street Los Angeles 13, California Enterprise Ins. Co., a corp. 300 South Hobart Los Angeles 5, California No record Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California No record Truck Ins. Exchange, an inter-insurance exchange Box 2478 Los Angeles 54, California No record No record National Auto. & Cas. Ins. Co., a corp. P. 0. Box 5780 Los Angeles 55, California Pacific Indemnity Co., a corp. 3200 Wilshire Boulevard Los Angeles, California  -7 - EMPLOYER PD. OF COVERAGE AND EMPLOYMENT 77. David W, Gordon 3844 Girard Avenue _ Culver City, California 78. Hardwick & Son, Inc. 1101 Somerset Lane _ Newport Beach, California 6/30/58 3/31/59 79. Consolidated Western Steel 3/31/59 Division - U. S. Steel Corp. P. 0. Box 2015 Terminal Annex Los Angeles 54, California -80. William J. Moran Company 1011 South Fremont Avenue Alhambra. California 3/31/59 81. . Peter Kiewit Sons Company 12/31/59 Payroll Department 1024 Omaha N a t 'l. Bank Bldg. Omaha 2, Nebraska 82. Ford J. Twaits, Carl H. Wittenberg 507 South Bixel Street _ Los Angeles 17, California 6/30/60 9/30/60 83. Edward M. Pozzo Edward M. Pozzo Company 1052 West Sixth Street Los Angeles 11, California 6/30/60 84. L. E. Dixon Company, a corp. 6/30/61 409 South California 9/30/61 San Gabriel, California 85. Guy T. Atkinson Company 9/30/61 10 West Orange Avenue S. San Francisco, California 86. MacDonald, Young & Nelson 8907 Railroad Avenue Oakland, California 87. Jackson Investment Co. a corp., Carter Co. Contr. & Developers 2975 Wilshire Boulevard Los Angeles 5, California 88. Crown Constr. Co., a corp. 5059 West Pico B o u l e v a r d Los Angeles 19, California 89. Odell 0. Atkins Box 84 Anaheim, California 12/31/61 3/31/62 3/31/62 6/30/62 9/30/62 9/30/62 carrier Industrial Indemnity C o . , a corp. Box 22 52 Los Angeles 54, California No record Liberty Mutual Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California Industrial Indemnity Co.,a corp. Box 22 52 Los Angeles 54, California Liberty Mutual Fire Ins. Co., a corp. 6006 Wilshire Boulevard Los Angeles 36, California No record Zurick Insurance Co., a corp. 4465 Wilshire Boulevard Los Angeles 5, California Argonaut Ins. C o . , a corp. 1001 Wilshire Boulevard Los Angeles 17, Californie Employers Mutual of Wausau, a corp. 3540 Wilshire Boulevard Los Angeles 5, California Argonaut Insurance C o . , a corp. 1001 Wilshire Boulevard _ Los Angeles 17, California Continental Casualty Co.,a corp. 2975 Wilshire Boulevard Los Angeles 5, California Industrial Indemnity Co.,a corp. Box 2252 Los Angeles 54, California Travelers Insurance Co., a corp. 3600 Wilshire Boulevard Los Angeles 5, California