Document MVVk7x8qbNBMX3bYpzBO8qax

FILE NAME: DDd DATE: DOC#: Dd OCUMENT DESCRIPTION:t&Z:D File Name Contract Unit Claim File: Dean Clark Feb. 15/66: Amended Mar.22/66 Scanned? yes Source JMA: NS-JM Start Year 1966 Stop Year 1966 Contents claim Notes \('m!R:KW~ESRTSR' lhCLOHPAEC!C~ISDAETNITONCC.t.:?:?:EU;S.LSZSOB:LO.<;p'RDrio- r C~toLlr1D96~6N)IA ;.PPLICA:\T _ _DE_A_N.--...;C~LA~RK::..:.-..:.(d.:;.e:,.:c:.;e:.,:a:,:s:.,:e;.::d:.:.,)_ _ _ _ _ _ _ _ _ Asbestos Norker CASE # LA 292043 DATE CLAIM FILED February 15, 1966 - Refi1ed March 22, I~JURY ALLEGED 1966 LfournegiginnjusrUyb/DStuanecetSo inhalation of asbestos & o .~LEGED DATE OF INJURY ___1~9~4~O~-~1~9~6~6~__________________________t_h_e_r____ E!iPLOYER/INSURER Baldwin Ehret-Hill, et.al. 58 employers/carriers including J-M Sales OTHER NOTES No apparent Canadian carrier After Compromise & Release with majority of defendant~ Applicant proceeded to trial against MetalClad/AETNA and Mundet Cork/AETNA. Undisputed injury. Poentibtiootfniss~faoers.Reconsideration (statute of limitations> DATE OF RESOLUTION May 20, 1969 RESOLUTION Compromise & Release $5,410.50 Settlement Ua rc h 23, 1971 Findings & Award - Opinion A$7f,t5e0r0 RAewcaorndsi+decroastitosn DOCU~~~TS COPIED 1) Med. cRipttinbgy aFsibeleds'totosisApliptleicraantut'rseattorney * OF PAGE 2 2) Cornoromise & Release with all but 4 Defendants 6 3) Findings & Award/Opinion After Reconsideration 4 CLAIMANT De-a 11 CIark. California Workers' Compensation Appeals Board CARRIERS INVOLVED: oThe AETNA Casualty & Surety Co. oAmerican Automobile Ins. Co. oAmerican Employers Ins. Co American Motorists Ins. Co Argonaut Ins. Co. oAssoeiated Indemnity Corp. oCalifornia Casualty Indemnity Exchange OCalifornia Compensation & Fire Co Casualty Ins. Co. of California oEmployers Liability Assurance Corp. Ltd. oEmployers Mutual Liability Ins. Co. of Wisconsin . ~ oFidelity & Casualty Co. of New York ' .Fireman's Fund Ins. Co. oGeneral Accident, 'Fire & Life-Assurance' Corp. Ltd. oGlobe Indemnity Co. oGuarantee Insurance Co. oGreat American Ins. Co Hardware Mutual Casualty Co. (Sentry Ins. Co.) .Industrial Indemnity Co Industrial Indemnity Exchange .Insurance Co. of North America .Liberty Mutual Ins. Co. oLumber.manJs Mutual Casualty Co. oMaryland Casualty Co. oMichigan Mutual Liability Co. oMission Insurance Co. oNational Automobile & Casualty Ins. Co. oNew Amsterdam Casualty Co. oOcean Accident & Guarantee Corp. Ltd Pacific Employers Ins. Co. oPacific Indemnity Co Reliance Ins. Co. (Standard Accident Ins. Co.) oRoyal Indemnity oSecurity Ins. Co. of Hartford (U.S. Casualty Ins. Co.) .State Compensation Insurance Fund oTransport Indemnity Co The Travelers Ins. Co. oThe United Pacific Ins. Co. oU.S. Fidelity & Guaranty Co. oZenith National Ins. Co. o0 _Z_u_r_i_c_h__I_n_s_. __C_o_. _______________________________________ 0 ______________________________________________________ 0 ______________________________________________________ o0------------------------------------------------------ 5/81 1 WORKERS' COMPENSAT/ON APPEALS BOARD 2 STATE OF CALIFORNIA 3 DEAN CLm, (D:EX:EASED) 4 MAURINE CLm . CASE No. 66 LA 292-04; I 5 Applicant 6 VS. 7 MUNDm CORPORATION, OWENS CORNING FIBERGLAS CORPORATION, 8 MTHEETAALECTNLAADCAmSSUuA:RLLTAYTIAONND CSOUMREPATYNY, - 9 COMPANY Defen.d4nt 10 11 --------------------------------------' 11 I hereby certify that the attached documents are true 12 and correct copies of the original docwnents filed in the records ~ 13 of this office in the above-entitled matter. 14 ATTEST my hand and the Seal of the Workers' Compensation 10 Appeals Board of the State of California. 16 17 l8 19 20 21 22 23 24 Dated at San Francisco, 215 California, this ~1 day 28 of March, 1981 27 .. ... 01" we". ,"0"'" ,tl (HaW 1.,11 ., . - . n.....,. 0 .....eunat4&. .......,...... D'V'.'O.., 01" ...oveft1AL A. . . ...,. .. . r .... " .' ( ( M.D (, ( I. .JOHN S. rtELO. PH,O. DI~o...."......C.Ic.H .o.wtD or INTC",""" "'ID'~tNt: ROX BAN MEDICAL. aUIL.DINO .U NORTH IIClXIUliV oll.vr BEVtRI.V H.I.I. CAI.'''O''N.A ell".","w 8*0633 , \,v. '~ ...3teven ::oee~ 1(21 'ica":. !i.'lth '}t. los Angelos, re.~if. ClQ015 Le:.r :tr. F.ose~e.n: FEB 1 :.:r. I h,.ve hac. t:le oP',o: t-,;':-,ity to stU:~ and reYie7! the :-ec:orcs a!lc' autopsy re~orts cn In the acove, 'ri~!', t~ia In ac,citicn ! h1WC rec:uested Enc receivec; a "orY rE'cora recol'c:. c.ocu"lents the fact t!l:.t ~cr 'lany yea:-s :':r, Clark on 1'Icrked Clark. at:nos::-here ','here he ':'as e,:,)08ed to :l.sr.esi:os, Under cor:citio:')s '7here the i::l as::estos an ';\.;s". '.':as c ::::tinuall~: orifices. in the air, on ~s cut.er ~:s.r!:lents anc. s1::'n and er.tering the ~_rter a \r~lc!'l;'!'<' !l':".,F.sS ~irt Cl3.rl" passer a~'a~r on :.~arch 4t :cC. 6 ..."t "':nch ti-,a a cetailt?C: a.;,tr.sy as e::1~:'::"se~a e.nt: re':ealEd :'i1 r~sis a ;'ronc:.oz-er:ic of the lun~s. cs.!('i.'lo!J:l ,'::.th m::'1ooroi,;.S !'l<'tastas:~ as ,Iell In e.c~.cit:'on the f:"~ rosis '":as ass~cia.~ecl 'r'it~ the preoen~5 of as1:es:cs co:!ies. ::.SCUSS!':':':~ I i'l:l';e t!,!lcertsl:en the o;--port....-. :ity to invest::"t:<.t,e ane: en.luz.te so~ of the ertensj;rpe a.'lC src-:-:in.:- !i~,erat'CTe en the Eur ject of asr:esto:: ~any o~ts:~~~i:,g authc.rities h~ve statec, see L~ t~is situ~tic~ ...'lC catlcer an a~l~gy "no as ~o the esux~~;~,s>ourrtei....e0:':'i~-!:1.~e:r-aa~tu.:r'e\Ois:['trc"h,iicn.igalrai"p"iccr:k.1syrs,an~d~thoteh~e!v" icire~ncc.uesti!s"iaal bcoasrctinoovegrel'nfhse.1z:":i1nhge fave!' of '\,::i~ association. I can c:uo'te a :er- c~ the Man=, ':')artinent references. b ~!1Y and l.cl~r in SO::l-:-set, E. ana nr ;, 7 ~jro"en c a ~eS .,!' t~.r E stOsib ~., the h .. site of: an &S)E't.OS co., C!.'l':l;:'':;' (~x:rf{r:J:id :--iant, h:.Ye accu...--rulated CC'1"u:1icati~n). In -::.I'. "'.!'~oracic tiseasE't:" 17 E. :I. hul',in an:: !.l. F.ur.ir" Saun"ers, P::iltl., l%2, )j. 1.62 1f!'::~!Jost:.!'e ~: as:f~st? :s ~:1o;n to ce.:-'::,,:, :"!lcre~5ed !lazc.:rc.s fer t;"e cevelo~nt of l~ cs.ncer." :;,:::~estos:'s On i." '0. !' a s 703-71 nii;:' .0 e.s "lUIl~ ~'J;;- c or ance be r 'u!.s cat:~ ~~E'n 1)11 anc fOU!lC: ~s e. i'r.;:(,1.:'?nt com~lic ~s CO:l1;Ja:-eG to ~;':"'losure to ... ti. si , l tl ic of os i s "nere only 1.32~ of -:.he ity From L\.:llg Cancer i:. \"orka:-s !lave 1eclr. !o\:..~~ to have lu.~ cance:r. As~e:,tos 7Torlrers". :-rit. ;:. In6ust. ::cc.., 12, Y.. Doll: ";rlortal.. Sl~ 1955, rep t:u.t 15 out of 11)5 a~bestos 'l:orkers C:iE'C ':ith l\:ng cancer anc : .F..A. ~,iere~'ether orte-c in the ?:roceedi.'lgs of the Syci.ney, A",s~ralie., J.'!lirci 1 ?50, Internatic!lal Ccn:erence of D:;>ert!> on ?ne,"-"oconiosia, re,ol'ter 31 of leO deaths in asrectos -erkel's to 1:e cue to lu."lg cancer. 1955, :? 50, In'; .1'.. r!.g~ll' s "Carc::'M:'!!a "It is eviuent therefore that o~ the Lung", Uv:'.n::;stcne, L~d., :sdinh:rga., l;;n:g cancer is a t:!Jtcii'ie il'lc.us~,ria1 cf "s\"estos ',7orkers" and in the t-::o voltl..~ "C~ect Diseases!! '!:-y r.~l. Ferry and haz.arc Sir c7L:"ill"os!Gelaea:r:s!e:lla..;n.y:eC1al1coinrOs,!J2F.'uotftetrh.~eorltuh."sl,g lionnc!1:.osnl',-e::t9o(s;3n, oVrlo:elr. s1i,s!ln.o',54n7,,c()i,t~r.iis:;epd nains teadn :0:\-.1.c; .'tI!l1Satrtial -2- of a :tuey is canee::- :!.!1 the th::.t even ':~en l'ierleo E..;a:':;(;';, t!1e :;t;2.cily ::-ising i.?)cicence: :,op'l:,h,tion ",3 r'hole, there !:SE:::tS little: ci~l..1::-';. tre.t t~e!'e is of It::!6 s~c!.al ris): of r.=: i."'I':.rat!1o!'acie tU"lO::- i!' asrestol: is also :Jres'nt in the lung. II P. In the rnited of r:ov: States Ila::!..:-nc., Selil'off anci Chu::-g, ;. 523, re'Jort t~t in a Yo::-l~ City asl:ectos insul::.tion v:o!'kers 20;' dieC'. of ca!'cino::!S.s s-:u:y of cieatb.s of the lung (o!' !'leura). Si:::ilar reports fron other ?li.rts of the vorlc. that of IiresC:en as~e~to;3 ';"orkers, 1). 573, anc other areas. are given bcluding Finally; the 17orki."'16 Group on tlt~ere b Astestos and evidence of Cancer plottinG a protoool for f~ther study, p. 710, states association l:et':;een ey.;osure to aste:stos and malignant neo- plaSia." tiThe types of tu.'!lors t:hich l1.aYe to as:estos cust are: 1. Carci.~o~ of the ('een shown to \:e associated "1'ith exposu:"e lu."'Ig; 2. Diffuse mesothelio=a of the pleura anci ?erito!'!eU!:\. II Another out!l~anci.'l6 r:orla autllority on ccC'upa':.ional cancers, -:r.C. :iueper, ~ho !las o1:jectivel; c'etaileC ~..lch of t!le rele....ant i!li'Or::!9.t:'on in a nelY lIlo:1or;ra;::~ IIOccupational a:;" Ee'.'1 Ycr~', 19H:, ? Environmental Ca:lcers of the Res!=irato1'*,; Syste:nll , Sprinser-VerlaE. L 7, cencluees that "Although cancer of the 1Ll.~ does not seel: ftorecq~eent!tle !'!o:lrosetlefvrea~tiunegntthfeatalulr.goOc::a1n"lc1eicratr!.aotneoa!'saastgersot~o,siasn, ~ittheisre eivsidaellstelr;ios~usfi'icient.l seq~el9. cf: ex;>osure to asbestos." In a disouss~on o~ the clino?Btholog1c ,rclation~ ~ueper ineicates t~~t 1t'i5 char- :.ctertistic t:"at .the asbestcs bocias. In lu.'lg cancer has associl.teci ~i1'rosis and the presence of all of these ite!:ls there is a cistinct correlation in the autopsy fi."jC'j.n;;s on !,!r. Clar1r Thus , i t is to aSCestos ::C' 1:;:- considered professirm!11 celiei' that the lo.'1g and co~tin~d exposure l1r. Cbrk <"as $ t:i:'ect ant: prot-aHe cause of his develo~nt of canoer o!' the 1"J!'.{; ',-:'1ich :-ro':sht about his cecise. ~rusting t!lat this re,ort is of assistance to you, ( . ene.  ___ ~ _ _ _ _ _ _._. , _0 t ( - .' .. c ~. ,,: t I1 HERLIHY, HERLIHY, JONES & NELSON Attorneys at Law 2 727 West Seventh Street Los Angeles, California 90017 :5 Telephone No. 627-4911 4 Attorneys for Defendants 5 j: ! I 6 7 a WORKMEN I S COMPENSATION APPEALS BOARD 9 STATE OF CALIFORNIA 10 11 l-iAURINE CLARK, m:now, :: D~ C~.v:~~~~pPlic.nt ) CASE NO. 66 LA 292 043 1 COMPROMISE AND RELEASE AGREENENT SOCIAL SECURITY NO. 327-07-9443 ------------------------)~ BALDWIN EHRET-HILL, INC. ) 15 a corporation, et a1 ) 16 Defendants 17 18 The parties hereto, for the purpose of Compromise only, 19 I agree as follows; 20 1. That the applicant Maurine Clark claims that Dean 21 Clark while employed at various places in the State of California, 22 as an asbestos worker, during the period beginning in the year 1940 2'2:5, and ending on March 4,1966, sustained injury arising out of and in the course of such employment, resulting in the death of the said 25 Dean Clark on or about March 4, 1966, as the result of the claimed 28 injury. 27 At various times during the period aforesaid the said 28 \ deceased employee vlas employed by the follOtJing named employers, 29 parties to this Agreement, were at said times insured as to so \1orkman IS ComI'ensation Liability in the Scate of California by the 31 hereinafter named Insurance Carriers; Isotherm Compat'ly, Insured by Hard,.)'are Hutual Casualty Co. j ( " 1 W. A. Bechtel Co., Insured by Industrial Indemnity 2 Exchange; - 3 Plant Asbestos Co., Insured by Industrial Indemnity Co.; 4 Baldwin Ehret-Hill,Inc., a corporation, and Kitzman 5 Plumbing & Heating Co., Insured by Insurance Company of North 6 America; 7 J. T. Thorpe, Inc., Thorpe Insulation Co., Marine Engi- a neering & Supply Co., Insured by Pacific Employers Insurance Co.; 9 Stearns & Rogers Corp., Insured by Reliance Insurance Co,; 10 Johns Man~ille Sales Corp., Armstrong Cork Co., Armstrong 11 Contracting Co., Insured by The Travelers Insurance Co.; 12 Fibreboard Paper Products Corp., Plant Rubber &Asbestos 13 Works both Permissibly Self-Insured; 14 Thorpe Insulation Co., Los Angeles Cork Co., Technical 15 Service Co., Insured by Fireman's Fund Insurance Co.; 1e Coast Insulation Products Co., Insured by Argonaut 17 Insurance Co. ; 18 Los Angeles Cork Co., Insured by Zurich Insurance Co.; 19 Accurate Insulation Co., Insured by Casualty Insurance 20 Company of California; 21 J. T. Thorpe, Inc., Insured by American Motorists 22 Insurance Co.; 241231 Accurate Insulation Co., Western Asbestos Co., R. T. Dinwiddie, Inc., Insured by State Compensation Insurance Fund; 25\ Unafrax Construction Co., Industrial Service &Engi- 27126\ neering Co. of California, United Cork Companies Corp., Insured by Liberty Mutual Insurance Co. ; 2siI 2, The actual weekly wages of the employee at the time 29 \ of the claimed injury were maximum. I30 3. That no paymen~s of compensation to the applicant were 31\1 made during his lifetime on account of the claimed injury. 3211 4. The applicant Haurine Clark being of adult age, states I. Ii - 2- Ii ( ( \.. 1 and warrants that she was the lawful wif~ of the deceased employee~ 2 and was the sole and only dependent of said deceased employee and 3 was \'1holly dependent upon him at the time of the deceased employee-' " injury. 5 5. The parties hereby agree to settle any' and all claims 6 of said dependent, both as a dependent and an heir-at-law of the 7 said deceased employee on account of the claimed injury and the a .death of said employee at a payment of the sum of' $5,410.50, payablt 9 in one lump sum to applicant, less attorney's fees, less ~alid lien~ 10 of record, if any. Less $~OQ.OO to Dr. Johr. Field, less $P.G.47 to Steve~ Roseman for Costs. 11 That said payment shall be made by the abo~e-named 12 carriers as follows: 13 14 Hardware Mutual Casualty Co. $ 235.00 15 Industrial Indemnity Exchange '333.00 16 Industrial Indemnity Company 414.00 17 Insurance Company of North America 180.00 18 Pacific Employers Insurance Co. 846.00 . 19 Reliance Insurance Co . 67.50 20 The Tra~elers Insurance Co. 621.00 21 Fibreboard Corp. and Plant Rubber Asbestos Works 180.00 22 Fireman's Fund Insurance Co. 1,035.00 23 Argonaut Insurance Co. 65.00 24 Zurich Insurance Co. 90.00 25 Casualty Insurance Company of California 39.00 26 American l1otorists Insurance Co. 450.00 27 State Compensation Insurance Fund 585.00 28 Liberty Mutual Insurance Co. 2~ 270.00 ~5.410. 50 30 Parties hereby agree that all medical, hospital and burial 3l expenses required by reason of the alleged injury and the death of 32rthe employee shall be paid by the applicant herein. -3- I.I; ,--~ --.-- - - _.---_._---- ( 1 7. The name and address of applicant's attorney is: 2 Steven Roseman,/l5It6!2J1/i'1W. ~sO~l/y~m~p~itc~/Bpo~utlevta.rdLos Angeles, 3 California, who requests a fee of $ 700.00 , having received noth:.: " by t~ay of fee previously. 5 8. REASON FOR COMPROMISE: 6 That a bona fide dispute exists by and between the partie! 7 hereto as to all of the facts except as to admission of certain a eoployment, earnings, and the coverages herein alleged. That all of 9 the parties hereto have attempted to evaluate the applicant's claim 10 and believe that the consideration to be paid hereunder is fair and 11 adequate as to those parties who have joined in this Agreement. 12 That the said defendants wish to buy their peace. 13 9. It is further agreed that the Release and Compromise 14 herein shall cover and include all employers of the deceased em- 15 ployee whether named herein or not during such periods as said em- 16 ployers were insured against Workman's Compensation Liabilities by 17 the Insurance Carriers named herein as parties hereto. 18 10. For the purpose of determining the lien claim filed 19 herein for the unemployment compensation disability benefits or un- 20 employment compensation benefits and extended duration benefits whic 21 have been paid under or pursuant to the California Unemployment 22 Insurance Code, the parties propose the following division of the sur 23 agreed upon for settlement and release of this case: 2245 __________$_- __-__-_- __~ __f_o_r__te_m__p_o_r_atroy__d_is_a__b_il_i_t_y__c_o_v_e_r_in_g__t_h_e__p_e_r_io_d___ ----- 26 $ 27 employee. for accrued medical expense paid or incurred by the ----- 28 $ for future medical care. 29 $___________for permanent disability. :30 11. Upon approval of 31 Horkmen's Compensation Appeals 32 1accordance 'vi th the provisions I, -4 I this Compromise Agreement by the Board or a Referee, and payment in hereof, said employee releases and - (" 1 forever dIscharges said employets and insurance carrielS from all 2 claims and causes of action, whether now 'known or ascertained, or 3 which may hereafter arise or develop as a result of said injury, 4 including any and all liability or said employe~and said insurance 5 carrielSand each of them to the dependents, heirs, executors, e representatives, administrators or assigns of said employee. 7 12. In further consideration of the payment in accordance 8 here~th, applicant agrees that this release ~ll apply to all un-~ 9 known and unanticipated injuries and damages resulting from such 10 accident, casualty, event, and/or employment, as well as all those j 11 now disclosed, and all rights under section 1542 of the Civil Code 12 of Caiifornia are hereby expressly waived. 13 14 as follows: Section 1542 of the Civil Code of California reads 15 "A general release does not extend to claims ~"hich the Ie creditor does not know or suspect to exist in his favor at 171 the time of executing the release, which if knom1 by him 18 must have materially affected his settlement with the 19 debtor ., 20 13. In further consideration of the payment of the afore- 21 said sum, applicant agrees that this release extends to and covers 22 the executors, administrators, heirs, representatives, successors, 23 assigns, officers, directors, agents .. serITants, and employees of the 24 \ defendants, and each of them, and the physicians, surgeons, and 25 nurses I of the defendants, and each of them, ,,,hether acting individua::' 2e\or on behalf of them or either of them. 27\ WITNESS the signature hereof this ~'( 28 1969 at Los Angeles, California. 29 ! 30 I I 31 1 I 32\ 'I~,I, - 5- " l.Ca.'1 c -- ------------ 15 G.~J~ ~ 16 \ . ,INSURANCE COMPANY OF NORTH AMERICA a corporatio~ 17 By: 18 19 20 ( 21 3 STATE OF CAL~O~ / SS. 22 COUNTY'. o::..-.-?i'.::, ~.- /..::L/ 23 / f,/ /On this'--<C' day of-:/.J,:(f.ct/-A.D. 1969 before me the , ,;7 24125 undersigned a Notary Public in and for the said County and State, residing therein, duly commission and sworn, personally appeared 261I MAURINE CLARK known to me to be the person whose name is subscrib~ 271 I to the within Instrument, and acknowledged to me that she execute~ I I28 II 291 30 :n,! the same_ IN W1T~~SS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this Certificate :52i": I! I ;1 - 6- I ' _- _- - - - - - - - - .. .... ---~-- .~ -"- ... .......- -., .. .. -. c / vlORKMEN'S COMPENSATION APPEALS BOARD STATE OF CALIFORNIA ,DEAN CLARK, Decea sed, By 'MAURINE CLARK, his Widow, ) . CASE NO. 66 LA 292-043 Appl1cant, vs. :i ;'MUNDET CORPORATION; OWENS 8 ': CORNnm FIBERGLAS CORPORATION; METAL CLAD INSULATION COMPANY; 9 THE AETNA CASUALTY AND SURE'l'Y ,COMPANY; 10 Defendants. OPINION AND DECISION AFTER RECONSIDERATION 12 On October 14, 1971, this B~ard issued its Opinion and Order ~3 :'Admitting Documentary Evidence and Notice of Intention to Submit. B) "that :1 .. document this Board noticed its intention to resolv.e this con- :, troversy by the issuance of an award based upon the calCUlations :,contalned in the Memorandum of V. M. Latino of the Permanent Disablli l' Rating Bureau \'lhich was received in evidence with the Board I s Order ~~ 'Of October 14, 1971. No objections or other requests have been made IS ,,within the period of time allowed. 'therefor by this Board's said -;:::.; Notice of Intention of October 14, 1971. Accordingly, for the j/ reasons stated in ,the Opinion portion of our said Order of October It 1971, the Board for its Decision After ReconSideration orders, finds and al.ards as fol10\>IS: oRDE R IT IS HEREBY ORDERED that, as and for tOis Board's Decision After .. '- ReconSideration, the Findings and Award filed herein on March 23, 197 be and they are hereby amended to read as follows: FllIDINGS OF FACT ., Dean Glcrrl., born December 2) 1907, Ilhile employed as an asbe3tos worker at various places within the state of California P"". - - - - "/ , .. ----- .- --- . . -"--- - --- '-'- .------ ./ " ( , ( for the perio~ commencing 1940 to March 4, 1966 sustained injury it- the nature of an occupational di~ease affecting his lungs arising Iiout ,I of and in the course of his said employment with various empl.oy ::which II injury resulted in his death on March 4, 1966. 2. Said employee left surviving him and wholly dependent upon :him his wife, Maurine Clark, applicant herein. ., ,i ,I During said period from 1940 to March 4, 1966, said employ' ,was " employed by> among others, Mundet Corporation, O\>/ens Corning :;Fiberglas !J corporation and Metal Clad Insulation Company who were at "the 1 time of such employment insured for workmen's compensation lia- ~:blli t y ,'1: by defendant The Aetna casualty and Surety Company. " 4. Applicant, pursuant to the provisions of Labor Code Section ;",:5500.5 has elected to proceed against the employers named in Find ing :llo. Ii 3 and against the insurance carrier found to have insured said Ii' iemployers for workmen's compensation liability. :! I; 5. Applicant on or about May 20, 1969 entered into a Compromis i.and I! Release with defendant insurance carriers Hardware Mutual Casual :iCompany, :, Industrial Indemnity Exchange, Industrial Indemnity Company I\Insurance H Company of North America, Pa.cific Employers Insurance Comp, ,Reliance Insurance Company, The Travelers Insurance Company, F1breboc Corporation and Plant Rubber Asbestos Works, Fireman's Fund Insuranc( 'Company, Argonaut Insurance Company, Zurich Insurance Company, Casua} ,Insurance Company of California, American Motorists Insurance Company State Compensation Insurance Fund and Liberty Mutual Insurance compar. and, said Compromise and Release agreement was filed herein on July 1 ~~ 1969 and was approved by this Board on August 27, 1969. 6. The insurance carriers listed in Finding No.5 above, who entered said Compromise and Release agreement, covered workmen's com- pen~atlon liability for various employers listed in said agreement, which employers employed the employee herein during the period of the P3M1 occupational disease as specified above. -2- ,I /. ( / , ./ 1 7. Said defendant, The Aetna casualty and Surety Company, is enti'tled to credit against compensation a'"arded herein to the exte~~ that the periods of employment covered by said Compromise and Relea agreement contributed to the employee's injury herein and to his .deat~ resulting therefrom. 8. The periods of employment covered by said Compromise and . Re1ease agreement have contributed to said employee's injury and hl. S ,death resulting therefrom to the extent of 31.02 percent. 9. Burial expenses were incurred by applicant in excess of the :C sum of $600.00. , 1 .1.- 10. Decedent self-procured medical treatment for this injury 12 'without notice of need to defendants herein. :3 11. Applicant reasonably, actually and necessarily incurred J.~ :expense for report and appearance of John B. Field, M.D. in the sum 1::'> lof $500.00. l2. tions. This cause of action is not barred by the Statute of Limita 13. The reasonable value of the services of applicant's attorne: .1s $1,000.00 AWARD AWARD IS MADE in favor of Maurine Clark against The Aetna Casua: and Surety Company, a corporation, as follows: (a) Death benefits in the sum of 68.98 percent of $17,500.00 o:r $12,071.50, payable forthwith, less the sum of $1,000.00 payable to applicant's attorney, Steven Roseman, as attorney's fee herein. (b) Reimbursement of burial expenses in the s~~ of $600.00 (c) Reimbursement of medical-legal costs in the sum of $500.00 payable to Dr. John B. Field. Pl~ -3- --_. -------------... _-- .. ----~- -. -- _._------ ( ". (d) Interest as provided by law from March 23, 1971 . . I CONCUR. (1vzMthC CONCURRING, BUT l~Ol' SIGNING I JACI I. BRADLEY' 2 :; DATED AND FILED IN SAN FRANCISCO, ,; NOV 15 1571 .:: 1 .' . Plo!