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FILE NAME: Insulators W orkers' Comp Claims (IWC) DATE: 1964 DOC#: IWC003 DOCUM ENT DESCRIPTION: Claim ant - Everitt, Allen C -- .. - .- $) [th..'fcf.-- i./>/'-/fte / C / q f -- ---- /"/vi -- Cc/T'/t-- r- /IrnfJ/e^ ,,Co.#f^'>3 ~~<xryd- ft Iif>--=Ccxr ^ -- -- ---- -- ' p,' b r e l o o <sc/.-- p <-^ .... . --C Z1_/S_________ O to h S ___ C e r n i ^ ------- p k n - p s (pesto*---- -.---- - p (y 5-Jk ---_C! /1/c rn C\. PcK.-f-^___ ,, //zo/^V n m * i t , K *'"*~JH* /y g } ... i EEF0RE THE INDUSYR OF THE STAT 3 ! -, 1 i, ! 5 ! 1 ` 11 7 8 9 10 CLAj..1* i~\0, ALLEN EVERITT, Applicant, * vs. . V/ESTERN ASBSSTOS COMPANY and STATE COMPENSATION INSURANCE FUND, Defendants. PETITION TO JOIN ADDITION..2 EMPLOYERS AND INSURANCE CARRIERS 11 12 TO THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA, PANEL ONE: . 13 14 Defendants Western Asbestos Company and State 15 Compensation Insurance Fund petition this Commission for an 16 order directing that additional defendants be joined in this 17 matter because: 18 1. Applicant, Alien Everitt, alleges that in the 19 period beginning 1946 and continuing through 19^3 he developed 20 an occupational disease arising .out of and in the course of oi his employment; ! 22 i1 2. Applicant was in the employ of defendant \ 23 i Asbestos Company for parts of the following quarters: ii 24 iI S i 25 ijii ` 23 27 ! 23 !,i| .i i 29 h 'i U1' 30 .1 II 6/ 30/S6 9/30/46 6/ 30/47 .9/30/47 12/31/47 3/31/48 6/ 30/43 9/30/48 12/31/48 3/31/49 6/30/49 9/ 30/49 9/ 3O / 3O 12/31/90 3/3 i/o 1 6/30/81 9/30/91 6/30/d 2 9/ 3O/92 I2/3I/92 3/ 3 I/33 6/30/53 9/ 3O/53 3/ 5 I/54 dud for no other time ; 6/30/p4 9/30/54 3/ 3 1/55 6/ 30/05 3/31/07 6/30/57 9/30/57 12/31/57 6/30/58 3/ 31/59 6/30/59 9/ 30/59 0 11> f 3/31/60 6/ 30/60 9/30/60 I2/31/0O 3/31/61 o/30/l 9/ 3O/0 3/ 31/62 8/ 30/62 12/31/62 3/31/63 0 ^ i>` OT r V > rvI i'-y --'O * '.'.cCern j'.stoi Company and oa..'- S Comoensation inaur-ar.es r.d allers that ill or part of appli- cant1a alleged occupational disc-ace, if shown to have Doer, the result Of industrial causation, arose out of and in the course of employment for employers otner than defendant Western Asbestos Company, 2nd was wholly or partially con 7 tracted in the period beginning 1946 and continuing through 3 S I I 10 11 12 l$o3; 4. Defendants Western Asbestos and State Compensation Insurance Fund allege that applicant was employee by the following employers insured by the carriers indicated as follows: 13 Eli?LOYER 14 15 Arrastrong Cork Co. Liberty & Charlotte Sts 16 Lancaster, Penn. 17 18 19 20 ^Armstrong Contracting and Supply Corp. 1 21 i 120 N . Lime Street '' Lancaster, Penn. 22 :j Charles Ayres Co. 23 :i 37a Brannan Street San Francisco 7, Cal. 24 Charles Ayres Supply 27 693ComMpiannnye,sotIanc.Street San Francisco 7, Cal. 30 Tn* J. Eartells Co 71 212 Sixth Ave., S. C- ~ <- O' -, U-. 4. Wash. INSURANCE CANNIER Standard .Accident . Insurance Company l|33 California Street San Francisco, Calif, and Employers Mutual Liability Insurance Co. of Wis. 114 Sar.some Street :n Francisco 4, Calirf Travelers Insurance Co. 1956 Wooster Street Oakland 12, California Industrial Indemnity Co. 350 Sansome Street San Francisco, Calif, a nd Argonaut Insurance Co. _'TO ^alifornia Surest San Francisco, Calif. Industrial Indemnity Co. 350 Sansomc Street San Francisco, Calif, a nd Argonaut Insurance Co. 550 California Street San Francisco, Calif. Employers Mutual Liability Insurance Co. of Wis. 114 vjc*r.wu--n SXtr.reet San Francisco QUARTER 9/3O/5: I2/3I/5: 12/31/55 12/31/55 3/31/O 12/31/51 9/30/55 12/31/58 3/ 3 1/ 5 2 6/ 30/55 12/31/55 6/3 0 / 6 1 9/30/61 LOYER >/**- ^ 0 ^ 77' QUARTER 0 , p, Braun H Company, A Corporation i1! 1C00 S. Fremont Ave. A !I hr*a California 5 S ThoMaPnhuiflaicpturCianryg Co.^ * American Mo ton e t a Insurance C.. ..puny 117 Montgomery Street^ San Francisco 1, Calif. General Accident cire ana Life Insurance Cor?., T ^ 6 Lockiand Cincinnati lp/'Ohio iJ V U , 600 California Street San Francisco, Calif. 7 'homas C. Douglass, Jr, United States ielity & 8 Douglass Insulation Co, Guarantee Company 2233 Ingalls Street 111 California Street 9 San Francisco 2l, Cal. San Francisco, Calif. 10 Fibreboard Paper JX Self-insured Products Corn. 11 1789 Montgomery Street 12 San Francisco 11, Cal. Fluor Maintenance, Inc. Associated IndemrM y Corp. 13 ?. 0. Box 791 332 Pine Street San Francisco, California 14 AMOaortiWnaerzd, StCraeleitfornia 15 IS 17 !! j 13 19 20 i! n'uor Maintenance, Inc. Box 7030 2500 E. Washington. E. Los Angeles 22, Cal. Continental Casualty^Co. I33 California Street San Francisco, California Insulation B Asbestos Ind. Works of N. Cal. Vac. Trust Fund Local Mo. l6 200 Guernero Street iAO R. Cal. ol 2 2 1 I! 23 0/. 1 25 Harold G. Lorentzen Lorentzen Company 1'55 Fifth Street Oakland, California V Mundet Cork Corp. ^ 2101 Tonnelle Ave. N. Bergen, New Jersey 23 i . V Gwens Coming r Fiberglas International F. S. 28 ;; Subsidiary of Owens i! 29 1 Corp. ?. 0. Box 901 30 I!i rTnoloco 1, Ohio Industrial Indemnity Co. 330 Sar.somo Street _ San Francisco, California Aetna Casualty and Surety Company - 1 33O Broadway Oakland, California Aetna Casualty and Surety Company i330 Broadway Oakland, California 12/31/57 3/3V5& 6/30/33 9/30/53 12/31/^7 9/30/55 12/31/58 9/ 30/32 9/ 3O/50 9/30/35 12/51/38 1 2 / 3 1 /po 3/31/57 S/3-/59 3/31/52 12/31/61 3/31/62 9/30/55 3/30/56 6/30/08 9/ 30/56 12/31/59 9/30/O Pv.-j.Av>'* H i I j 1 0 1 1 I i 01 ; ! 6! employer --- 6*1Lf jCo wOu OU , i 1300 - 64th Street N Emeryville Oakland 8, Calif. T'sr---r>? W . I - W -- , ^ALEIER 7 .- stria! Indemnity Co. - *\ J/CVvjO W UCjw-.-7 Francisco, California and Arr;C*ricon Employers' r*surar.ae C0mpany 1^0 BuiIdins San Francisco, Calif. 7 o/-- Thorpe Insulation Co., A Corporation 9 2741' S.`Yates Ave . Los Ar.se les 22, Calif. 10 QUA. .-.TEA V /-,./ O t/.'D/ V-V --/'."' 6/30/,9/30/36 12/31/7/6 9/30/39 12/31/60. 9/20/6.1 9/3 Vo: 9/30/o: 5. Defendants 'Western Asbestos Company and State ~O Compensation Insurance Fund attach herewith as part of this 15 petition a copy of the report of the Department of Health, n Education, and Welfare, Social Security Administration, signed by Robert H. Mayne, Chief, that pertains to Mr. Allen Everitt's employment during the aforementioned time. 17 WHEREFORE, defendants Western Asbestos Company and State Compensation Insurance Fund respectfully pray that an ora or issue direct lap that the aforementioned employers . o~> V* /"i ; carriers be joined as defor.cants in this matter, 2.s -'*Pc;T-I11i;V^-*^0 all other and further relief that may be necess; 00 ana nr oner. * * Dated: January 20, iQo-1' r.3Y i*l# i`,C 27 A.ttorney for Defendants : Western Asbestos Company Peace Compensation Insurance 50  H- \ -V ' V { .'.\G0_-' v^- r-, ^ ^pP \ .v -jr.-,'r-vi e.- ... 'j " c:n a rc sincro o: Unload Gtaceg and a resident ol uhe * .'1^01^0 oc*--c. cou ry j " over she ayo oi* eiyhcccr. years and uarc" yTJ to tno v~;iorin aoove acu ion; r.y bucine so address ! lu * 3360 Grand Avenue, Ccklsr.o iO, California O ! t, 7 .!' w.i uanuary , -> 7 oc'-vcd the d t h i r PETITiOn TO jCxN AGDnuOlhili nP.um SmAa ;.::0 IFSUBAkCE CARRIERS on the various 9 r I1 JI.-07 !1!' II oarties in said accion, by placare 2 true copy thereof en closed in a sealed envelope with postacc cr.areon fully pre02id, in the United Stases post office mail box a. Elv/ooc , and Grand Avenues in Oakland, California, addressed as folio- 12 IS / /Armstrong Cork Company, _r_oercy and Charlotte Streets, Lancaster, Pennsylvania . 14 Standard Accident Insurance Company, oo Calia, o r ^ d San Francisco, California 15 ErmoIllloyeSrasnsomnuetuaSltreLsisa,bilS-i.tny Frinacnucrai.rsacnoceA,ComCpaa_inny^oronfi.aWisconsin, i Iy Armscronrry- Contracting and Su,,pply. Corporation, 120 Nortr. Lm,e i!' TraSvoreelsetr,s LIannscuarsatnecre, Cormapnannoyy,aviapnsao aebsocr -jnscu, Oakland 12 17 * Californi -yi; ^-r--.cn Stress, San Francisco i, ly infusorial Indemnity a.-.pany, '350 Sansorr.e Street, San Fra nei Ar ;or.auc Insurance Comr.ny, 55^ California Street, 20 '! Ohcrlee Ayres Supply Co...parry, Inc., 6$S Minnesota Sorest, par. Francisco 7, California in. L. o. marosi is Company, 1212 Sixth Avenue, South Seattle l.'ashinycon C. F. Braun ar.c v ^ O . . <j >~ i, ' 1 noration, lOcO sou ur. ararono ...'oc.-.'uoee, A1hanbra,J C.a.l.-:.fo.rnir. car. .-.os o n s n s..Ow.- ..^e aim .oso -ornery Strecm 1 ^ ,on Francisco o. The Philip Cary marna a ariny Company, Lockland, Cincinnaci no Cnio ^ - - v m c "00^ r. 11**o m e n mon, -Oui.,, "bowo Cwa-l-i--fowr-n*-i-a--S-om Pan Francisco, Cali, o n '1 ..'* -- ^.. rn---- ---mr 007 7 27 Tneras o. --- >, - - > ^ Inyalls Soreao, San Francisco e-,, - 7; /*nO ; iC |! , , 2D i: 30 l! !O>-_ourOne SStpkaces Fidel icy ana Guarantee ^O ^ .. ` * - N- .-.cisco, California Flireboard Paper Produco.; corpora non, 1 /op wOv-.. ___ > <* -*j<t s c o il, Fluor Mainoer.ance. Inc., ?. 0. Box 791> ^C'0 -- .'orwwu...o. y 'fard StreeO, n ^ " ~ -O.. i < - - r. ' I ' . ' V ' V . T ' - ' e J' _, . ;>- ^ - - -- iu'wr\~* `,*'y1 -'** v-s -v ,-k j ^ s> ' J*-.*- V(^*_jO/-\ j OjZ2^ijr\ v2j' ^.i>--u Uvashineton Street, -,0 2 r.r.';clor; ' 7i 7 Cr,l^.i'or'r.'l3 '" W' w ' . - "e / --'....* .v v-' -- "Xc/ vsuc-lay Company, ^33 Call: orr.ia Street, - n Francisco, 0: Insulation end .-.c.a.c ,cf anaustry forks oS North California, ;..CJ^on S'vrru er* o bund .,o. le, 200 Cuernero Street. Sen Francisco 3 , Californie Marold G. Lorentson, Lorcntsen Comoany, 1155 Fifth Street Oakland, California ' ` * t'.u..aL. Cork Corporation, 2101 Tonnelle Avenue, North Berner New Jersey < aeuna Casualty ana Surety Company, 1330 Broadway, Oaklane ' California - " Owens Corning Piberglac, International P. S. Subsidiary o~ Cv/ens, Corning Fiberglao Corporation, P. 0. Box 90 1, Toledo 1, Ohio rlan,, soestos Cor.ipany, 1300 - 64th Street, Emeryville, Oakland 8, California American Employers' Insurance Company, Russ Building, San Francisco, California * horpe Insulation Company, A Corporation, 2741 South Yait**kjfcb Avenue, Los Angeles 22, California I certify, under penalty of perjury,* that the foregoing true and correct. Executed on January 0, 1964, at Oakland, California ~JTec;nie u. nucxer c Smith, Parrish, Paduck un O- ncy Attorneys at Law 315 Financial Center Bull --J ~**,o-r Oakland 12, California roc o : ,,-*>**tfJ^ by - -, i r"- , '\r NEW YORK ATLAN: A 8ALTIMORE CHICAGO CLARKSBURG LOS ANGELES M'AMI MONTREAL NtWARK NEW ORLEANS PHILADELPHIA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA A l e x a n d e r & a\ l e x a n d e r INCORPORATED I NS URANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE 18, MD. c - November 1, 1966 Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Gentlemen: Travelers' Policy No. RUB 8659228 Armstrong Contracting & Supply Corporation Please note disposition made of the following claim: Date of Accident: Claimant: Location: Claim No. : Disposition: January 1, I960 Allen Everitt California B 586498 $40.00expense Remarks : TELEPHONE TUXEDO 9-4304 CABLE ADDRESS "ALEXBLUE" Very truly yours ALEXANDER ALEXANDER, INC. Indicate Whether: Workmen's Compensation___x Auto Liability - B.I. _____ P.D, ____ General Liability- B. I.____ P. D.____ R WORKMEN 1S COMPENSATION APPEALS BOARD 2 STATE OP CALIFORNIA 3 ALLEN EVERITT 4 5 vs. Applicant ) ) CASE NUMBER 63 OAK 11139 6 WESTERN ASBESTOS CO., and STATE COMPENSATION INSURANCE FUND; 7 ARMSTRONG CORK COMPANY, V 8 ARMSTRONG CONTRACTING & SUPPLY CORP., CHARLES AYRES CO., CHARLES AYRES SUPPLY CO., INC., 9 THE E. J. BARTELLS CO., 10 C. F. BRAUN & COMPANY, THE PHILIP CARY MANUFACTURING CO., 11 THOMAS C. DOUGLASS, JR., DOUGLASS INSULATION CO., 12 FIBREBOARD PAPER PRODUCTS CORP;., FLUOR MAINTENANCE, INC., 13 HAROLD G. LORENTZEN, LORENTZEN CO., MUNDET CORK CORP., 14 OWENS CORNING FIBERGLAS, PLANT ASBESTOS CO., 15 THORPE INSULATION CO., STANDARD ACCIDENT INSURANCE CO., 16 EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN, TRAVELERS INSURANCE COMPANY, 17 INDUSTRIAL INDEMNITY COMPANY, ARGONAUT INSURANCE COMPANY, 18 AMERICAN MOTORISTS INSURANCE CO., GENERAL OCCIDENT FIRE & LIFE INSURANCE CORP.LTD., 19 UNITED STATES FIDELITY & GUARANTEE CO., ASSOCIATED INDEMNITY CORP., 20 CONTINENTAL CASUALTY CO., AETNA CASUALTY & SURETY CO., 21 AMERICAN EMPLOYERS' INSURANCE CO. 22 Defendants 23 ) ORDER DISMISSING PETITION TO JOIN ) ADDITIONAL EMPLOY ERS. AND INSURANCE ) CARRIERS ) ) ) ) ) 24 Pursuant to Request of State Compensation Insurance Fund, and 25 GOOD CAUSE APPEARING THEREFOR: - ------ 26 IT IS ORDERED that the Petition to Join Additional Employers 27 and Insurance Carriers, filed by State Compensation Insurance Fund on 28 January 22, 1964, be, and it is hereby, dismissed*) __ _ \Ai 1 I 29 lICH A R D 30 SERVICE UPON ALL PARTIES AS SHOWN ON OFFICIAL ADDRESS RECORD: September 16, i960 (hg) (SEAL) y A i\L' WESTERN ASBESTOS COMPANY and ) STATE COMPENSATION INSURANCE FUND; general A c c im r ? f ir e & life ) ASSURANCE CORPORATION* LTDo, et al Defendantb . NOTICE TO ALL PARTIES . You are hereby notified that further hearing will be held in the above entitled action at March 21, 1966 3000 State Building 1111 Jackson Street Oakland, California Apportlonrzant of Liability- 1;30 P.M. Before Referee Hickman ^ Hours) Dated at; Oakland, California Industrial Accident CocaaisBion HOTE; CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED. Date: January 25, 1966 ALL PARTIES SERVED AS SHOWN ON T2E OFFICIAL ADDRESS RECORD. (Jvh) / T 3300 OR A N O A V E N U E , O A K L A N D , C A L I F O R N I A S A 8 1 0 f May 26, 1965 - ^ ' ' STATE TEL 4 4 4 - 4 6 0 8 C O M P E N S A T IO N IN SURAN CE FUND IN K E P L N N F M TO: A02967 Allen Everltt Industrial Accident Commission Room 3000, State Building 1111 Jackson Street Oakland, California Re: Allen Everltt v s . Western Asbestos Company and State ""Compensation insurance Fund, et al; I.A.C. 63 OAK 11139 Gentlemen: It is respectfully requested that the aforementioned case be set for hearing to determine what, if any, apportionment defendants, Western Asbestos Company and State Compensation Insurance Fund, are entitled to from the other defendants to the aforementioned action. Very truly yours ^les M. McMillan Attorney c - Smith, Parrish, Paduck & Clancy Financial Center Building Oakland 12, California c - Henry 0. Sanford 714 Hobart Building San Francisco, California 4SI 5 k&ti 1 Industrial Accident Commission May 26, 1965 c - Sedgwick, Detert, Moran & Arnold 100 Bush Street, San Francisco c - Hanna & Brphy 1540 San,Pablo, Oakla^d c - Armstrong Cork Co.ar Liberty & Charlotte Sts. Lancaster, Penn. J c - Armstrong Contracting & Supply * Corp., 120 N. Lime Street Lancaster, Penn. c - Charles Ayres Co. 374 Brannan Street, San Francisco 7 , Calif. c - Charles Ayre3 Supply Co., Inc. 698 Minnesota Street San Francisco 7, Calif. c - The E. J. Bartells Co. 1212 Sixth Ave., S., Seattle 4 c - C. F. Braun & Co. 1000 S . Fremont A v e . Alhambra, Calif. c - The Philip Cary Mfg. Co. Lockland, Cincinnati 15, Ohio c - Thomas C. Douglass Jr. Douglass Insulation Co. 2233 Ingalls Street San Francisco 24, Calif. c - FIbreboard Paper Products Corp. 1789 Montgomery Street San Francisco 11, Calif. . c - Fluor Maintenance, Inc. P. 0. B o x 791, 406 Ward St. Martinez, California c - Fluor Maintenance, Inc. B o x 7030, 2500 E. Washington E. Los Angeles 22, Calif. Insulation & Asbestos Ind. Works of N. Cal. Vac. Trust Fund Local No. 16 , 200 Guernero St. San Francisco 3, Calif. Harold G. Lorentzen Lorentzen Comoany 1155 Fifth Street Oakland, California c Mundet Cork Corp. 2101 Tonnelle Ave. N. Bergen, New Jersey c Owens Corning Fiberglas International F.S. Subsidiary of Owens Corning Fiberglas Corp. P. 0. B o x 901 Toledo 1, Ohio c - Plant Asbestos Co. 1300 - 64th Street Emeryville Oakland 8, Calif. c - Thorpe Insulation Co. 2741 S. Yates Ave. Los Angeles 22, Calif. c - Standard Accident Ins. Co. 433 Calif. St., San Francisco, Calif. c - Employers Mutual Liability Insurance Co. of Wls. 114 Sanscme Street San Francisco 4, Calif. c - Travelers Insurance Co. 1956 Webster St. Oakland 12, California. c - Industrial Indemnity Co. 350 Sansome Street San Francisco, Calif. c - Argonaut Insurance Co. 550 California Street San Francisco, Calif. - 3- Industrial Accident Commission ( c - American Motorists Ins. Co. 417 Montgomery St. San Francisco 4, Clif. c - General Accident Fire & Life Insurance Corp. Ltd. 600 Califo m i a St. San Francisco, Calif. c - United States Fidelity cc Guarantee Co. 444 California St. San Francisco, Calif. c - Associated Indemnity Corp. 332 Pine Street San Francisco, Calif. c - Continental Casualty Co. 433 California St. San Francisco, Calif. c - Aetna Casualty & Surety Co. 1330 Broadway Oakland, Calif. c - American Employers' Insurance Co. Russ Euilding San Francisco, Calif. May 26, 1965 A / m strong C O N T R A C T IN G AND S U P P L Y CO R PO RAT IO N AftCA COOC 419 T E L E P H O N S : 791-1292 SOUTH V SAN FRA N C ISC O 304 SHAW ROAD CA LIFO RN IA / July 6, 1 5 6 b A Hr. Ivan A. Schwab Hanna & Brophy 15^0 San Pablo AvenueOakla nd 12, California Door Hr. Schvabx Sutojeeti Allan BaagitA-- Travelers C laia B-56b98 m J5* ? 5 ? Jv*a 9th* eneexning Industrial Accident Ccsolsslen W nia 63 oak 11139, 2 submit the following information obtained in part from ur raeordSp and in p art fare asawry of the four Jobs on which Allan E v aritt worked. According to tha payroll information obtained fro our Lanoastor hone o ffiea. Alloa S v eritt worked fo r a to ta l of lA toys in Hevo&er and December of 195 on C m tract 271-213, on which Araatrong vas providing insulation m ships being b u ilt a t Bethlahstt's Son Francise shipyard. Inaaauoh as ha verified coly lA days ever a period of four veeks ca a job in vhieh ve began work in Dsosdber of 1957 and c o lla te d in June of i 960, vs can asmsse th at he w a assigned to standard pipe covering duties, and would have been callad on to in s ta ll "Hsgnssia" or "Calcium S ilic a te '1 o r "High Temp" pipe covering, a l l of vhieh contained sn ail amounts of asbestos. Ha would unquestionably not have bea assigned to tha fabrication shop or the pad shop where the m aterials used, or where a very high amount of cutting o f tha pipe severing, would indicate th at store a& estos fib er would be in the a ir . In Decenber of 1959 Allan S v eritt returned to esployaent with Armstrong end veerkod fo r o toys on Contract 71-711. in vhieh Armstrong was providing and Polyurethane sheet insulation fo r DuPont a t th e ir Antioch, c * n * plant. There would be no asbestos products used a t a l l on tha insulation used on th is Jbb. and therefore no p ossib ility fo r contact with asbestos. In the la s t part of S e e ^ > e r, 1959 and the f i r s t part of January. I960 Allen S v eritt varied p art weeks on Gsntraet 271-565 cm which Armstrong was providing insulation fo r piping, duets and vessels cm the Bank of America main building in downtown Sen Francisco, and providing id en tical insulations on piping, ducts and vessels fo r the Department o f Flnane Job, Contract 271-563 in Sea Francisco. Mr. Ivan A. Schwab -2- July 6, 196k. a, the insulation was almost exclusively yiberglaa pip* covering and with sera* amount* of "Fibroc!" pip* covering, a product aad* from of duota with Fiberglas blanket*. Tiberglas blankets or pip* covering would contain no asbestos at a ll feeing *tJ glaaa fib e r, and pheoollo resin hinders. I t v a lid therefor* appear that during the 3^ days that Mr. B veritt was *snploye< fey Armstrong, that 1 would have worked only ik day* on a job in which he eoaK have any exposure to asbestos fib e rs, those feeing on the ship contracts.I I hope that th is lnforsation w ill fee su fficie n t fo r your requirements, w* w ill certain ly o ffer any additional help that you fe e l we aay be able to give. Very tru ly yours, Axan im o w iwaj D is tric t Manager DJH . y. L . Gardner, Lancaster Wallace 3 . Hofferth, Armstrong Cork Company, Laneaster ( Jua* $t Mr, Xyan A. Sabwfl) & arophy lkn & a Sfefclo k H t m e^rnA 12+ CnJUUPoasriA Osar Jtr flofawhi & h 4eo*> All YS __ Amststas Casfcractins and a^g^r 6P* Truvalsr CLaia B-5&&93 M_ r. A. L . StdssdyL, gDy,is!WtricIt. SSotoutgheSra, nAf^*tturcsiaagco0,c8cratnJ af? iJl ^l yv^ou1iin? c^snir valla* the m t c r U U used cn the m tura^of w * ^ ? 2 7 i 569 and 271711 Thom contract vers ^ g r a i n s thsau a n is triad ^ a aggr of th is call Ba i l l la tte r, prdbetoly also he yw aqpert m era Mr. Stokaly t o y tru ly yessra, vitasaa ixvam to aspect year V&Olace B. Ebfferth Assistant General V&mgp? assurance Bepartzasnt Mr. A. L . StoSaly, D istrict M am ^r Arsastrcag Contracting and Supply Corp* 30^ Shaw Road South San Francisco, California frd L . Gardner, ACSfi, la a ca stcr A rm strong C O N T R A C T IN G AND S U P P L Y CO RPO RA TIO N T E L E P H O N E : IS7-S631 A R E A C O D E 717 120 N O R T H L I M E S T R E E T LANCASTER, PENNSYLVANIA June 5, 1964. W. B, Hofforth Armstrong Cork Company Liberty & Charlotte Sts, lancaster, Pa, Dear Wally: Subjeot: Allen Everitt, AsbestosIs Claim We are returning copy of correspondence dated May 4, 1964, from the Travelers Insurance Company with reference to asbestosis claim of Allen Everitt, We have ohecked the chemical composition of materials noted as used on contracts and find that other than the magnesia pipe covering, no magnesia is included in these products. Contract numbers as shown belong to the San Francisco operation and although our Mr, Stokely oould not be classified as an expert witness on composition of materials, his office will have information on these specific contracts. Sincerely yours, F. L. Gardner Contract Officer ENS 1 AN F r a n c ie c o OFFICE too B u s h S t r i c t S an F ran cisc o 4 Ban Jo s i O ffice I 7 ! T hs A lam eda Ban Jo se 28. C a lif. LAW OFFICES OF Hanna a Brophy 1540 S an Pa slo A v in u i O A K LA N D 12. C A L IF O R N IA PHONCt 8 3 2 - 3 6 8 9 May,4, 1964 FRCSNO OF.'ICI 9 3 N St r ic t F rcsn o 21. C a l if o r n ia S acram ento O ffice 9 2 J STREET S acram ento t4, C a lif . Armstrong C.ork Company, Lancaster, , Pennsylvania, 17604 Attn: Wallace B. Hofferth re: Allen Everitt vs Armstrong Contracting & Supply Travelers claim No. B-5&649& Corp. Gentlemen : We are the attorneys for Travelers Insurance Company in this matter, and have your letter of April 22, 1964, giving earnings for Allen Everitt. . We note that the materials handled by the applicant were as follows: Contract ! o. 271213 271711 271565 271563 Materials Used Magnesia //v -Polyurethane -Armaglas ho J^rmaglas & Styrofoam We assume that "magnesia" refers to magnesia pipe covering, and pe.know from experience gained from trying other asbestosis claims that magnesia pipe covering does contain asbestos, and that it has to be cut and the use does create some dust*^ We would like to know what the chemical composition of the otiier products are, with specific information as to whether any asbestos is included, and whether use by a construction worker of those materials creates any dust. If v/e do have to try this case on the merits, it would also be helpful if you could tell us the job covered by each contract number listed, and could advise us whether there is anybody in your South San Francisco whom we could use as an expert witness as to the composition of the materials used. IAS:JE Very truly yours, cc: Travelers Insurance Co, Oakland (B-5S649S) % * April 22, 1 9 & # Mr. J . W. ` A djuster She Travelers 1956 Webster Street }S OedtiLasd# C alifCTOla 9^612 Deer Mr. Vaughnj Subject t d a i a B-586^98 Armstrong Contracting azd Supply Cory. Bei Allen B varitt D/A 1/ 1/60 ---------------- Baa employment Information you requested on Allen E v e rltt Is liste d on the enclosed sheet. Very tru ly yours, SL2C ^closure Wallace S . Bofferth A ssistant General Manager Insurance Department o Allen E v eritt SS Ho. 503-O3- 5IH Occupation - Asbestos Worker - Mechanic Last Known Address - 1&9 - 22nd Street Richmond, C alif. Days Worked II/2O/58 2 H / 2^/58 1 2 / 1/58 1^/ T/58 5 12/ 8/58 12/10/58 3 12/11/59 12/13/59 1 I2/ W 59 12/20/59 5 12/21/59 12/27/59 2 12/21/59 12/27/59 2 12/28/59 V 3/60 * 1 / V 60 1/10/60 1 1 / 1+/60 - 1/10/60 1 /1 1 /6 0 - 1/15/60 2 1/11/60 - 1/15/60 3 Groaa Wages $ 6!*.00 128.00 160.00 96.00 33.60 168.00 67.20 67.20 13^.1+G 33.60 13^ .to 67.20 100.80 Contract Ho. 271213] 271213, 271213, 271213 271711 271711 271711 271565 271565 271563 271565 271563 271565 M aterials Used Magnesia Polyurethane Arnagl&s Arsagla* and Styrofoam a J O U s Y ^ /?. S 03- 03S I I i . ~/k/I- 2. H r 5 ir r }O.O0 ^oo[ 33 4 :/?W iqj-M 3 W U .'! s n p i \\ * 7 ^ -r-., ^ t6 7 : ^ * w 4 3 Y ; y i ,/3Vy^ / \s3Q 21]-s3 V y 7*3 7 b 3 ioafcj IhSCtr . 1 t -1. i- - + , - - - - - -- * - t ( 4i j t J - j 4 tI + --il 1 4 I - Xt^rv Z / - Z o - s ~2- / Z - / > - ~ 2/3 u -jj-s~r- - / - - o /) r ^ - * - /H u^/V}  VXTM THE TRAVELERS T H E TRAVELERS INSURANCE COMPANY T H E TRAVELERS INDEMNITY COMPANY CLAIM DEPARTMENT T . J . I verson, Assistant Manager i April 14, 1964 OAKLAND OFFICE 1956 Webster Street Oakland, California 94612 Telegbonet"XEroplebar 4-5700 Armstrong Cork Company Liberty and Charlotter Sts. Lancaster, Pennsylvania Attn: Insurance Department ,j 't 1* ''fy , VV i I > ^ y \j '/ V y 1 V., B-586498 Armstrong Contracting & Supply Corp. Re: Allen Everitt _ d/a 1-1-60 Gentlemen: Y/e are writing with reference to the workmen's compensation of Allen Everitt for asbestosis and heart disease. He allege exposure to these diseases while employed at Armstrong Contract ing and Supply Corporation during periods when the Travelers was the comp ensation carrier. Would you please send us a report of all your payroll information regard ing Allen Everitt. Please include dates worked, earnings, occupation, type of materials hand led: cork or asbestos. We believe Everitt is a Northern California resident, but we do not have his hone address. His social security number is $03-03-5111 Very truly yours, JWV:ces cc: Attys. Hanna & Brophy /100\ g Y Y K A K S ) V situa usuasi v ltu t I - IIMM HOME OnilE HARTFORD, ^ O H C O N N F . C T 1C U T - ` ' O y vtsn he i'kiHtiij M UHM 1W46 M h Hi* rii tf.HlkiUi ATLANTA lAlTIMORE CHICAGO Ci^RKSWRG IC $ ANGELES MIAMI MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PirrS&URCH SAN FRANCISCO ST. LOUIS TORONTO mtSA AosxAsmm* & A I NC OXPOX AT ED ilk INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE, MD. 21218 < February 25th, 1964 TELEPHONS TUXEDO 9-4304 CAKE AD0XE5S "AUXILUE" j 'V Insurance Department Arms trong Cork Company Lancaster, Pennsylvania Gentlemen:- B 586498 Armstrong Contracting & Supply Corp re: Allen Everitt D/A January 1, 1960 ______________ Referring to previous correspondence with you relative to the above case, weare advised by the Oakland, California Office of the Travelers Insurance Company that the petition to join ad i tional employers and insurance carriers v. Western Asbestos Company, et al, have been received by them. For your information, they have assigned claim No. B 586498 to the case, Sincerely ALEXANDER & ALEXANDER, INC. H. Finlay GENERAL ADJUSTER R 0 Mr. John A* Binkley Legal Department Bgplayars Mutuals of Wausau Adam Grant Building f la n ^ w a ftA 'ItfA A f f a l 4 a February 12 1962 four company insured our manufacturing plant a t South Gate during Allen B v e ritt' s alleg ed esaployoeat with Armstrong Cork Company during the th ird and fourth quarters of 1951 Although p ractically a ll of our payroll record prior to 1957 have been destroyed, we were able to confirm from one remaining record th at Mr. E v e ritt was not splayed a t our South Gate Plant during 1951* We believe th is information should enable you to obtain an Order of Dismissal from the Industrial Accident Cccsdsslom insofar as your representation of Armstrong Cork Company is concerned* I f a more formal statement of Mr* H re ritt's employment is required, please l e t us know. Very tru ly yours, Wallace B. Boffarth A ssistant General Manager ELS Insurance Department f E m p lo y e rs M u tu a ls o f W a u s a u ADAM GRANT BUILDING - S A N FRANCISCO, CALIFORNIA 9 410 4 0 A R FIELD 1-1394 Armstrong Cork Company Liberty &' Charlotte Streets Lancaster, Pennsylvania February 6, 1964 Allen Everitt v. Armstrong Cork Company, et al Our file: A27-46840 IAC file: 63 OAK 11139 Gentlemen: We have been joined as a defendant in an occupational industrial disease claim filed by Allen R. Everitt, Social Security No. 503-03-5I H , alleging occupational injury due to exposure with various employers, between 1946 and 1963 A copy of the Social Security records filed by the applicant indicates he was employed by you during the quarter ending September 30, 1951 with gross eamingsof $589*34, and during the quarter ending December 31 1951 with gross eamxngs of $341.22. Will you please confirm the above employment, and give the speci fic dates of employment, as well as applicant's foremen or super visors, and their addresses. Please also indicate the location of the employment, and the office through which the employee was hired. It would also be helpful if you could include a job title and job description of the work being perfomed by the applicant during thi3 time. Thank you for your prompt reply to this request. s* La <-* ' Yours very truly r~-r JAB:ac John A. Binkley / Legal Department / COURT I-O Z 10 CA0UC AOOMCa Aucxcamo Tt L r r r F t PO SO I ALEXAN D ER AGENCY, INC. IN SU R A N C E-W O R LD W IDE S IN C E I S 5 3 316 FOURTH AVENLJE . PITTSBURGH, PA. 15222 January 28, 1964 (Tuesday) Amstrong Cork Company Lancaster Pennsylvania 17604 Attention} Mr. Wallace B. Hofferth Re: Allen Everltt Dear Wally: I have your letter of the 24th enclosing a copy of a Petition. As we did in the Faulkner Case, we will send this on to the Standard Accident,in Los Angeles, for their attention. l^ rtf BRSieh Beverly R. Shriver OUR SECON D CENTURY O f INSURANCE SERV IC E Januexy 29# 19$* Mr. a . H. H alay Alexaader Si Aleaauader* Iao. 2225 Sorth Charle Street Baltiaore 18, Maxyland Ear Mr. Finlayi Bbjects Alien S v e ritt, Applie*nt va yaatara Aabeatca Ccasp&ny and State Ccopensatioa Insurance Fursi, Befendaota 2S P atiticn i ove f i r s t cotice of tJiia c ala . Very trvOy youra, WallAce B. Hofferth Asaietant General Mwmger Ineuraaoe Departas! SLK  ATLANTA ULTIMORE CHICAGO CL \RKSfcURG LCS ANGELES MIAMI MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PITTSiURCH SAN FRANCISCO ST. LOUIS TORONTO TULSA Alexander & Alexander INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE, MD. 21218 January 27, 1964 TELEPHONE TUXEDO 9-U04 CABLE ADDRESS "ALEXSIUE" Hr. Wallace B. Hofferth, Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Asst. Genl. 17604 Manager re: Allen Everitt, Applicant vs Western Asbestos Company and State Compensation Insurance Fund, Defendants_____________ Dear Hr. Hofferth: This will acknowledge your letter of January 24, 1964 enclosing copy of Petition received by you in connection with the above case. We are writing at this time to inquire if this case has ever been reported to us before, and if so, the approximate date, so that we may check out our records. We have written to California to verify that the Travelers In surance Company have received their copy of the Petition. Sincerely, ALEXANDER & ALEXANDER, INC. Mr. 0. B. Finlay Alexander & Alexander, Inc. vxy Horth Charles Street Baltimore 18, Maryland Bear Hr. Finlayi Subject: Allen B v e ritt, Applicant VB Western Asbestos Company * e n l S tate Compensation Insurants Fund, Defendants A cosy of the P etition to Join Additional to t b i. ototo taoueirt v Alton B n r it t Ccsaissico of the State of C alifornia, Claim Ho. 63 OAK received on Jam ary 2k, Armstrong Contracting and_BqWJj jusi ihe Travelers Insurance Company are named ia _^ r^ titlG a Mr, B v eritt vaa ecgicyed by AC18 in 1958* 1959 &od-19^0 #lDC Even though a cosy of the P etition has been directed to J ^ v e l r s S S a c d O f fic c , ve thought i t best to follow up fr m th is end to give th at office notice of ova* receip t of the P etitio n . Very truly yours, Ssolooure Wallace B. Eofferth A ssistant General Manager Insurance Department January ( $ Mr. B. H. Shriver Alexander Agency* 2feO* 3X5 fourthAvenue Pittsburgh 2 2 , I * . Dear Bert Subjectj Allan B v e ritt, applicant Western Asbestos Ooapaay axLState Ccstpensation Insurance Fuad* Defendants A cow of tbs P etitio n to Join Additional Saplcyers an d In sn re C arcjsr* l a t h i s claim file d before the Industrial Accident of C alifornia, d a i s Bo. 63 OAK 11139, **a received on la ^ a ry 2b. Araatrcmg Cork Ccaspaw and Standard Accident Insurer Ceapaay ^ Jca^ L * a P o U tiS a in c e Mr. S v sritt as evidently ssdxyad by us in 1953. Sven though a copy of the P etition bas been directed to Standard A ^idant we thought i t beat to ? o^lovup f r ^ m end and give the ecstasy notice of our receip t c f the enclosed P e titio n . . Sincerely yours* Iktdomno Wallace B. Bafferth A ssistant General Manager laatar&ucc Dspextaent t 1 2 ! BEFORE 2 o: NDUSrRIAL ACCIDENT COMMISSION 2 STATE ? CALIFORNIA " CLAIM NO. 63 OAK 11139 5 ALLEN EVERITT, y-* :it O f Applicant, 7 vs. 8 WESTERN ASBESTOS COMPANY and STATE COMPENSATION 9 INSURANCE FUND, 10 Defendants. 11 PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS 12 TO THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA, PANEL ONE: 13 14 Defendants Western Asbestos Company and State 15 Compensation Insurance Fund petition this Commission for an 16 I 17 order directing that additional defendants be joined in this matter because: 18 1. A pplicant, A l l e n Everitt, a l l e g e s that i n the 19 period beginning 1946 and continuing through 1963 he developed 20 an o c c u p a t i o n a l d i s e a s e a r i s i n g .out of a n d i n the course of 21 his employment; 00 2. A p p l i c a n t was in the e m p l o y o f d e f e n d a n t W e s t e r n Asbestos Company for parts of the following quarters: 24 1 6/30/46 9/30/46 9/30/30 12/31/50 6/30/54 9/30/54 3/3 1 / 6 0 6/ 30/60 25 I 26 27 28 ! 6/30/47 9/ 3O/47 12/31/47 3/31/48 6/30/48 9/30/43 12/31/48 3/31/51 6/ 30/51 9/30/51 6/30/52 9/30/52 12/31/52 3/31/53 3/ 3 1 / o5 6/30/55 3/31/57 6/30/57 9/30/57 12/31/57 6/30/53 9/30/60 12/3 1 /6 0 3/31/d I 6/ 30/61 9/ 3O/6 1 3/ 31/62 9/30/62 ; 3/31/49 6/30/53 3/31/59 12/ 31/62 29 ! i 6/30/49 9/30/49 9/30/53 3/31/54 6/30/59 9/30/59 3/31/63 30 1 ana or no other time; 31 ^ "Or * c fD'v'S I o encanes -.vestern Asbestos Company and State Compensation Insurance aele^e shat ill or part of aopli- 3 cent's alleged occupational disease, if shown to have been 4 the result of industrial causation, arose out of and in the 5 course of employment for employers other than defendant Western Asbestos Company, and v/as wholly or partially con 7 t a c t e d in the period oeginning 1945 and continuing through* 3 1963; ' . 9 - 4. Defendants Western Asbestos and State 10 Compensation Insurance Fund allege that applicant was employed 11 by the following employers insured by the carriers indicated 12 as follows: 13 14 15 16 17 18 i ! 19 ' EMPLOYER INSURANCE CARRIER Armstrong Cork Co. / Standard Accident * Liberty & Charlotte Sts. Insurance Company Lancaster, Penn. 433 California Street San Francisco, Calif, and Employers Mutual Liability Insurance Co. of V/is. 114 Sansome Street San Francisco 4, Calif. QUARTER 9/30/pl 12/31/51 20 i Armstrong Contracting i and Supply Corp. 21 . 120 N. Lime Street Lancaster, Penn. oo : Charles Ayres Co. 23 : 374 Brannan Street San Francisco 7, Cal. 24 l! 25 i9o; Charles Ayres Supply 27 ;! Company, I n c . * h 698 Minnesota Street 28 San Francisco 7 , Cal, 29 Travelers Insurance Co. 1956 Webster Screes Oakland 12, California industrial Indemnity Co. 350 Sansome Street San Francisco, Calif, and Argonaut Insurance Co. 5oO California Street San Francisco, Calif. Industrial Indemnity Co. 3p0 Sansome Street San Francisco, Calif, and Argonaut Insurance C o . 550 California Street San Francisco, Calif. 12/31/53 12/31/59 3/ 3I/6O 12/31/51 9/30/58 12/31/58 3/ 3 1/5 2 6/30/55 12/31/55 Tne S. J. Eartells Co 31 '! C1C2a1t2tlSeix4t,h WAavseh.., S. *7 o Employers Mutual Liability Insurance Co. of Wls. 114 Sansome Street Q-SVN ---- - t ________ ), 6 / 3 C/o1 9/30/51 J* 1 EMPLOYER QUARTER 2 5 1 li a '1 C. ?. Braun B Company, A Corporation 1C00 S. Fremont Ave. Alhambra, California American Motorists Insurance Csm.pany 417 Montgomery Street San Francisco 4, Calif. 0 The Philip Cary Manu1 acturing Co. 6 Lochland . Cincinnati 15> Ohio 7 . t General Accident Fire and Life Insurance Corp., Ltd. 600 California Street San Francisco, Calif. 8 9 ' i 10 ; XX 12 Thomas C. Douglass, Jr. United States Fidelity & Douglass Insulation Co. Guarantee Company 2233 Ingalls Street 444 California Street San Francisco 24, Cal. San Francisco, Calif. Fibreboard Paper Products Corp. 1789 Montgomery Street San Francisco 11, Cal. Self-insured 13 1 14 Fluor Maintenance, Inc. ?. 0. Box 791 406 Ward Street Martinez, California Associated Indemn: -y Corp. 332 Pine Street San Francisco, California 15 Fluor Maintenance, Inc. Continental Casualty Co. 16 : Box 7030 I 2500 E. Washington. 433 California Street San Francisco, California 17 E. Los Angeles 22, Cal. 13 ! 19 1 20 j 21 22 j1 XOsJ Insulation & Asbestos Ind. Works of N. Cal. Vac. Trust Fund Local M o . 16 200 Guernero Street San Francisco 3, Cal. Harold G. Lorentzen Lorentzen Comoany 1155 Fifth Street Oakland, California Industrial Indemnity Co. 350 Sansome Street San Francisco, California O* 1 25 26 I1 27 ! 23 Ij1 29 !i 1 O7"d>. Mundet Conk Corp. . 2101 Tonnelle Ave. N. Bergen, New Jersey Owens C01ning Fiberglas International F. S. Subsidiary of Owens Corning Fiberglas Corp. ?. 0 . B o x 901 T o l e d o 1, Ohio Aetna Casualty and Surety Comoany 1330 Broadway Oakland, California Aetna Casualty and Surety Comoany 1330 Broadway Oakland, California 12/31/57 3/51/55 6/30/58 12/31/5^ % ^ 9/30/53 12/31/47 9/30/55 12/31/58 9/30/38 9/30/58 9/30/95 12/31/55 I2/ 3 I/56 3/31/57 3/3-/59 3/31/52 12/31/61 3/ 31/62 9/30/55 3/30/50 6/ 30/58 9/30/53 12/31/59 9/ 3O/0O 1 I EMPLOYER A s bestos Co. 13CG - 64th Street Emeryville Oakland 8, Calif. H.bJriAi.CE C.ARRXFR a^ n 0 r. -' `' -- . v-* i -f-demr.icy Co. c a nr*ssoon e_ d__t_r e a t San Francisco, Californi ' c nd American Employers . insurance Company Russ Building San Francisco, Calif. Thorpe Insulation Co. A Corporation J 2741 S. Yates Ave. Los Angeles 22, Calif. QUARTER 3/31/t2 o/30/oo 3/ 31/06 c/oO/V, 9/ 50/56 12/31/56 9/30/59 12/31/50 9/30/61 .9/30/62 9/30/5 5. D e f e n d a n t s W e s t e r n A s b e s t o s C o m p a n y a n d Scare Compensation Insurance Fund attach herewith as part of this p ~ ^ _ u i o n a c o p y ox the r e p o r t o f the D e p a r t m e n t o f Health, Education, and We^fa^e ' U on i>' .--1 o _ . . o O C x ,l Security Administration, 15 s i g n e d b y R o b e r t M. Mayne, Chief, that p e r t a i n s to Mr. A l l e n 13 E v e r i t t 's eir.ployrr.ent durlns the aforerrentlonad time. 0to 17 m1mWo 19 21 22 ' Uhi.-o_.-ORS, d e f e n d a n t s W e s t e r n A s b e s t o s C o m p a n y a n d S -- -e compensation I'^suv'?r>r>h. A - * s^*c.ncw .-and r e s p e c t f u l l y p r a y that a n orcor issue direct^'" ~ ^ gIorementioned employers and insurance carriers be joined 00 Q'i.ncants an this matter, efanting all other and fu - and proper. relief that may be nece 3 O O aA -- 1 wC Of! 27 |j Dated: 23 jj 23 1. 30 ;! *r* ii January 20 , 1964 C...-.nnaS n. nc.'innLAW A v i o m c y for Defendants: ,,. 'Western Asbestos Comoar.y Ouate Compensation Insurance 2 w I1 6 I 7 8 9 10 11 12 i - s i a t e Cl vJ ~.v._ CE B Y MAIL-101; 2015.5 C.C.P.) - - /..- / of zr.o U n i t e d States an d a r e s i d e n t of the m. o v e r the age of e i g h t e e n y e a r s and he lt".f"g --Whir. a b o v e a c t i o n; m y b u s i n e s s a d d r e s s G r a n d Avenue-, O a k l a n d 10, Califo r n i a * On January - 1964, I served the within PETITION TO JOIN njjuiiION.-uLi E m P ^ O Y E R i A..D i N S U R n r C E C A R R I E R S on the v a r i o u s P C*2'"- ,2S i n sai d senior, oy placing; a true cop y t h e r e o f e n c l o s e d i n a s e a l e d e n v e l o p e w i t h -postage t h e r e o n f ully p r e paid, in the United Sosues post office mail box at Elwood and Grand Avenues in Oakland, California, addressed as follow; 13 /"Arms t r o n g Cor k Company, jioercy a n d C h a r l o t t e Streets, Lancaster, Pennsylvania 14 Standard Accident Insurance Company, 433 California Street, San Francisco, California 15 employers Mutual Liability Insurance Conorny of Wisconsin, ^ 114 Sans o m e Street, S m F r a n c i s c o 4, California 16 J.-.r...sorong C o n o r a c o i n g a n a s u p p l y C o r o o ration, 120 N o r t h Lime Street, Lancaster, Pennsylvania 17 T r a v e l e r s I n s u r a n c e Company, 1955 W e b s t e r Street, O a k l a n d 12, California * 18 C h ir ^ A y : as Company, 374 B r a n n o n Street, S a n F r a n c i s c o 7 , v-'O L. -- m 19 industrial Indemnity Company, 350 Sansome Street, San Francisc Ca -.iforr.ia 20 Argonaut insurance Comoany, 550 California Street, .an Francisco, California 21 Charles Ayres Supply Company, Inc., 698 Minnesota Street, S a n F r a n c i s c o 7, C a l i f o r n i a 22 The S. J. B a r t e l l s Company, 1212 S i x t h Avenue, S o u t h S e a t t l e 4 Washington 23 C. - . 3 r a u n n c company, .-. C c r o o r a c i o n , 1000 S o u t h Free one Avenue, Alhambra, California / O, . ' ------ c a n .'.Otoris^s ansu--ar.ee Company, 417 Montgomery Street S a n F r a n c i s c o 4, C a l i f o r n i a * ' 25 | m e Philip Cary Manufacturing Comoony, Lockland, Cincinnati 15 i Ohio 23 ! General Accident Fire ana Life Insurance Corporation. Ltd.. oOO California Street, San Francisco, California 27 Thornss C. L o u g i a s s , g n - -i1 < g insu_ation Comoany , 2233 11s Street, San F r a n cisco 24, o-.n * 23 United States Fidelity and Guarantee Comoany, 444 California Street, San Francisco, California 23 .jo e .* u Corporation, 1759 Montgomery Scree' S a n F r a n c i s c o 11, C a l i f o r n i a 30 F l u o r M a i n t e n a n c e , Inc., ?. 0. B o x 791, 4 0 o W a r d Street, r -- W 4 V -- * * . California 7?"\' Cj **> V"^ " V>w ^ V- V", /-V-S O S-,,, . - -->03 A n geles 2o2`C,,Aar1 ?:'; 7rG-,-3>~' 2300 East Washington Street, .ncnw Sr.c<G-r-Pcoy, S)! 5^ 3*-S Calliorr.la Street, Sor. Francisco, 3 I ans-,ulat:..on .end r-*.sbostos --Industrjy Woiwrixkv.so oo.f r1,.^ortn O n "1 -> " ^ S I o S 5 ' 3 P "c f - . i d ^ `f0> l 6 ' 200 * > S ^ e t T ' 5 f S u S & Lorc'-t*ea C2"?ar`7' 1 1 5 5 ?ifth stree- S "Us! w 6j M s ^ r COrP01fal*r" 2 1 0 1 Tonr-elle Avenue, North EerSen, 7 8 9 i 10 'I 11 I 12 ! 13 I Ae0e'li?oS5aty nd S'e 9 t y Coa eW . 1330 Broadway, Oakland, International P. S. Subsidiary o- _ & e S S ?lb*r s U s * 0 . b o x 9 0 1 ,y - n o S u a n d l ? S a ? ? ? o r S 1300 * * * S6r8et' E" ^ i U e , toI a n l r an S c o ? l I u ? o r S a e RuSS BuildlnS ' Sl?eLerLoftoge?efi3'ca\??o?natl0n' ^ SUth YdteS I certify, under penalty of perjury,* that the foregoing is 14 ! true and correct, i 15 Executed on January ; 19 6 4 , at Oakland, California . " 17 ;i is I, Jea nie l T . Ru cher 19 j c - Stilth, Parrish, Paduck and Clancy Attorneys at Lav: 20 21 li 215 Financial Center oua j-cij '*(07 Oakland 12, California 22 23 2 -; 2d 23 27 I I 23<~i 'i 29 30 31 *The proof of s e r v i c e by n a i l for::., bein' ' ; i y~,Tk ro of o e r i u r v . dor- O not*, r'AOl'-' r>.^ I DEPARTMENT OF HEALTH. EDUCATION. AND W ELFA RE SOCIAL SECURITY ADMINISTRATION IN HCPLY CFCR TO f .l c n o . l i t : P C 7 :F C Account lie. 503-03-5111 A. R. Everitt P A Y M C mT C C K T t & * U T I M O C * r M AHT LA hO State Compensation f Insurance Fund 525 Golden C-ate Avenue San Francisco 1, California A V 4 c 7 ;; ,, / OT- l._ T . Your rc A02967 Allen I \ I " , f , ' A ' 'l , X ; 'y \\ Attention: Ihr. David S. Bloxaon Claims Adjuster ` AJ s j . i 0 /.Je C-cntlcmen: Mr. Allen R. Everitt,.social security number 503-03-5 11 1 , has authorised us to send you the detailed x m o m a t i o n iron his earn ings record for the period January 1, 1937> through March 31* 19o3 Employer Name and Address / < '< w/ / / " John Morrell and Co. w' Otturer, Iowa x3 Fenile Brothers, Inc. , \ 7 117-119 S. Phillies Ave. - T " Sioux Falls , South Dakota \5./ v - '/. V Fenile Brotners, one. .ivL Chiocco Bridge and Iron Co. V 13C5 w . ic5th st. Chicago, Illinois Parlar Transfer and Storage ,W. Parler : P y 221 S. First Ave. > ^ Sioux Falls, South Dakota Charles H. Rue Rue Contracting Co. ' 515 llith St., H. Fargo, North Dakota Walter Butler Co. > P Athol, Idaho Period Ended 6/30/37 12/31/33 3/31/39 9/30/U. 12/31/Ul 9/30A2 9/30A2 Amount $ 17lt.ll m $ 72.00 $ 75.00 $ 175.20 9.35 $ 107.56 2llt.20 MfV/ ICc -,/ !r,s; y \ \0 ILr.ployor Hane Adcrcoc Er.terpriso Er.gino and Foundry Co. cCO Florida St. , Sau Francisco, California Zorthuastern Engineering Co. *y ^3 ^s > A *. m ^*' ^ u - y iU w w u.w ** 1. **^ /<*-*+ ' *. <* T S - . *ti* Carrico and Gartior Feine and Washoe Sts. Richmond, California / /- / leiser Alurdrun and Cherical Corp. c/o G. F. Fennington 1921* Broaduay Kaiser Bid". Oakland 12, California Daniels and "urnruist 6CU Orphean Bldg. Seattle, Washington vy Kaiser A l u r i n m and Cherical Corp. c/o C-. F. Fennington Ernest and Kaiser and Assoc. 'Joint Venture i/ / 825 Olympic Blvd. Eeverly Hills, California y '/ 7 and Chenical Corp. . c/o C-. F. Fenrir.gton . ./ 2b / Sion: Falls Machine Works f y :.r. Dakota Ave. S** 1/ Sicu:: Falls,* South Dakota /Podio2s Delivery Co. < v ilio Z. 12th St. l' Siene Folla, South Dakota Period Ended 9/30/12 9/30/2 9/30/12 9/30/12 12/31/12 9/30/12 3/31 /!i3 / ^ cy^u/io 6/30/U3 9/30/2 12/31/2 6/30/12 6/30/2 2 Ar.ount $ 1*1.00 228 7.91 132.9p 800.85 32.33 $ 853.23 61.11 192.19 $ 552.CO 890.22 33.25 32k.63 >>_ i. ' Employer Har.a end Aderees ' / Kaiser .Alunir.un end Chemical Cerp. v c/o G. F. Fenninjoen f j I/estern A.sbestos C. Cb . Bc:: 3731; ,/ Eine on Anne: _ San Francisco 19, California Western A.sbestos Co. > r. Fibreboard Paper Products Corp. p V 1769 Kontgossiy St. ' y San Francisco 11, California *Western Asbestos Co. vj. M ^ W e s t e m Asbestos Co. , lv`.Westcm Asbestos Co. < > X 'Jcstcrn Asbestos Co. / I Armstrong Cor1.: Co. 1 Liberty and Charlotte Sts. ^ Lancaster, Pennsylvania Charles A.yras ` , , Y Charles Ayres Co. 371 Brannan St. San Francisco 7, California ' , /Western Asbestos Co. ^ Pericd Er.dcd 3/31A b 6/ p O A b 9/3CA3 3/3 CA 3 9/30/16 6/30/17 9/30A7 12/31A7 12/31A7 3/31A3 6/n C/_;S 9/30A 3 12/31A3 3/31A9 6/30/;9 9/30A9 9/30/50 12/31/50 3/51/51 o/p0/pl 9/30/51 9/30/51 12/31/51 12/31/51 6/30/52 9/30/52 12/31/52 Ar.our.t *5 V 193.CS 61h . 20 316.30 $ 133.60 761.13 $ 922.20 9A . CO 916.65 0.00 V 932.70 760.00 992.16 315. A $ C.--O-.O*w'3 1 ,110.21 151.91 $ 9L3.75 1 ,120.00 $ 82-5 .co l,cU.oU 136.87 539.31 311.22 127.82 $ 1,295.09 1,155.33 19.53 Employer liane . and Address ' y / __^ ?iar.t Asbestos Co. y/ i 13C0 olth St. * Eaoryvillo 8, California * i by *"r y Charles Ayres Supply" Co., Inc. 698 Minnesota St. . _ San Francisco 7, California Mundet Coric Corp. y v, ,-,5 /2 10 1 Tonnelle Ave. ' North Eergen, New Jersey /V'Wcstern. Asbestos Co. 1- ^ i ^5 Western Asbestos Co. X 67/ ' 1/ Viestern Asbestos Co. fi y /' v Plant Asbestos Co. (), y ~r- y Charles Ayres Co. 69o Minnesota St. San Francisco 7, California Fluor Maintenance Inc. P. 0, Box 791 A h C Ward St. Martinez, California Harold C-. Lorentzea '[ ,Lorcrtzen Co. y > H 5 r Fiftn St. . y Calcland, California T h e m a Insulation Co. . y21. -N, i N-/y7 A Corp. S. Yates Ave. Los Angeles 22, California Period Ended 3/31/52 3/31/52 3/31/52 3/31/53 6/30/53 9/30/53 3/31/51 6/30/5U 9/30/51 3/31/55 6/30/55 6/30/55 6/30/55 12/31/55 9/30/55 ' 9/30/55 12/31/55 9/30/55 1 Anount $ 122.01 259.52 325.72 $ 1,261.50 1 ,66!-.60 673.90 $ 1,378.60 1,182.30 . 739.10 $ 1,171.05 ' 176.10 ICO.80 529.20 50.80 126.CO 217.66 129.80 208.CO Employer Hane and Address Cuens Corning Fiberglas ^^_ International F. S. Sucsidrary of Cuens C o m i n g Fiberglas Corp. P. 0. Box 901 ' Toledo 1, Ohio Period Ended 9/30/55 .[j Thos. C. Douglass, Jr. \/ Douglass Insulation Co. y "f 2233 Ingalls St. 1 San Francisco 2h, California / A], Plant Asbestos Co. 9/30/55 3/31/56 6/30/56 9/30/56 12/31/56 Harold G. Lorentzen Lorentzen Co. a 0vrens Corning Fiberglas 'V International F. S. Subsidiary of Cxens . Corning Fiberglas Corp. 12/31/56 3/30/56 /; /X y \iv' / Insulation and Asbestos Industry Wo ries of Forth California Vacation Trust Fund Local lio. 16 2C0 C-uemero St. San Francisco 3, California The Philip Caiy 1-Ifg. Co. Loeilend Cincinnati 15, Ohio Western Asbestos Co. 9/30/56 12/ 31/50 3/31/57 6/30/57 9/30/57 12/31/57 j y ,Harold G. Lorent: .en i Lorentzen Co. 1- 3/31/57 5 Amount $ Id5.o 330.20 $ 298.h5 . 1 ,600.20 1,773.90 373.35 lUi.10 203.20 52.50 7ho.l5 $ 13h.CO 1 ,670.26 1,226.20 969.UO 936.66 Employer Narco and Address Period Ended C. F. Braun and Co. A Corp. 1000 S. Frercont Ave. Alhanbra, California 12/31/57 , * n4 f^/ Phillip Head and Shirley Nielsen industrial Insulation Co. 11835 Warner Cupertino, California 3/31/57 i' i y Western Asbestos Co. .Charles Ayres Co. ~r Y 6/30/53 9/30/58 12/31/53 ^ ^ C u e n s C o m i n g Fiberglas 4s. `V International F. S. Subsidiary ^ of Cvrens Corning Fiberglas Corp. 6/30/58 9/30/58 4^ C. F. Braun and Co. A Corp. Insulator and Asbestos Industry of North California and Local Union No. 16 Vacation Plan 200 Guerrero St. San Francisco, California 3/31/53 6/30/58 9/30/58 Arrcstrong Contracting and Supply Corp. 120 N. Line St. Lancaster, Pennsylvania 12/31/58 / 'Fluor Maintenance Inc. i V Box. 7030 / y 25CO E. Washington East Los Angeles 22, California 12/31/58 ' 7i> Western Asbestos Co. ' 3/31/59 6/30/59 9/30/59 Arccur.t $ 55U.80 85.15 $ 273.60 133.90 390.00 152.00 1,3U8.80 1,807.30 1,197.00 102.70 1x1x8.00 256.61x $ 1,501.75 2,052.65 281x,93  7 Employer Nana and Address i 3 ^ Harold G. Lorentsen Y' Lorentcen Co. - / f ? T ? * * ^ <3 3/31/# Amount 0 160.00 Owens C o m i n g Fibergla3 V . <h/International F. S. Subsidiary I' of Owens . Corning Fiberglas Corp. 12/31/59 1,637.25 , Amstrbng Contracting r and Supply Corp. 12/31/59 336.00 v / Western Asbestos Co. 3/31/60 6/30/60 9/30/60 12/31/60 $ 1,570.9c 2,089.35 103.20 53U.00 -4~ ^ ^ P l a n t Asbestos Co. 12/31/60 1,679.20 Owens Co m i n g Fibergla3 v International F. S. Subsidiary 'Sy of Owens v Corning Fiberglas Corp. 9/30/60 1,121.20 Armstrong Contracting ana Supply Corp. Wn. Thorns Tuck ( 5 7.Tech's Supply Co. V 1x69 Sunshine Lane Reno, Nevada ^ ^ - W e s t e r n Asbestos Co. . 3/31/60 9/30/60 170.liO ^ 17U.72 3/31/61 . $ 2,135.10 6/30/61 1,587.05 9/30/61 1,077.55 .i Plant Asbestos Co. * al, ` Hundet Cork Corp. ' j 1 The E. J. Bartella Co. 4 H .1212 Sixth Ave., S. ! ' y ' Seattle h, Washing-ton j ^ W e s t e r n Asbestos Co. 9/30/61 12/31/61 6/30/61 9/30/61 3/31/62 9/30/62 12/31/62 291.20 113.52 iiCO.liO 182.00 $ 1,708.25 ' 1,57.68 l,23_nC? * * t r ' f ' r { * 1 f O 8 Employer Name and Address ried Ended Amount 9/30/62 ~ $ 309.12 3/31/62 3;0.5> 6/30/62 7XU.8U 3/31/63 $ 1,675.68 He have no record of any other earnings for the poriod in which Mr. Everitt is interested. * ' Cur records do not show the amount of earnings in each quarter of 193? because employers were required to file reports ordy twice that year. Any earnings earned after March 31, 1963, have not been included. Earnings are not usually posted to our records for at. least 6 months. after the period in which the report is filed by the employer. This much time is needed to receivo and post the wage reports. Sincerely yours, Robert li. Haynep^ Chief I Vv\ V 'I .../ I C ' " ! / 'i iip i