Document VjeEVpmwb6QbdQBVXOB7yNBQq
FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1966 DOC#: IWC007 DOCUMENT DESCRIPTION: Claimant - Crader, Willard J.
/ i
^ -i ' t ,
!
State of California ' Industrial Accident Commission
A P P LIC A T IO N
(Death Case)
file s ig n e d o r ig in a l a n d s ix c o p ie s
(PLEASE PRINT OR TYPE NAMES AND ADDRESSES)
CASE No.
____ L O L A J - G R A D E R .---------------------------- --
--10603- V a l e n c i a -Sfet APPLICANT SAODRthS
-Bloomington, Calif,
/m M -
- W i l l a r d - U . ___G r a d e r -, - S z -
DECEASE 0 E M PLO M E S NAME ANO SOCIAL SECURITY NUMBER
572-05-5511
FIB E R G LA SS EN GIN EERS an d A T T A C H E D L I S T `'`"*
AETNA C A S . & SURETY CO* &
-A T T A CH EQ _LIST .
C MPLOYE R ' S I NSURANCE CARRI ER OR S TAT E IP S E L F - I N S U M O OR
PERM) SSI SLY UNIHSURCO
*
-5933 Telegraph-JEtcL
EMPLOYER'S AOORESS
_L as-JL n gele3 -# _C a lif-
-2 4 -0 4 Wi X s h l x e --B lv d r .
INSURANCE CARRIER'S AOORESS
Los A n g e le s , C a l i f .
1. it is alleged that____ W i l l a r d _ R C r a d e r . ^ S r u , _ _ _ 1 - 1 8 ^ 0 7 _
NAME--O-P--E-M-P-L-O-Y-E-E
1-38 to
OAT b OP B I R TH
a sb e sto s w orker.
OCCUPATI ON AT T I M E OP I NJURY
.19______ , ac ..b .A jL .
lUi'MTOmsWI
_, while employed as a ____________ , California,
by F i b e r g l a s s E n q i n o e r s ^ _ s t - _ a I _
NAME OP EMPLOYER
. sustained injury arising out of and in the course of employment
to___lung eu_bdy_
PARTS OP BOOT
as follows:______ e x p o s u r e t Q _ i r r i t a i L t s _
EXPLAI N HOW I NJU RY WAS RCCEIVEO
'
resulting in death on -----3m.7tr60_
DATE OF 0 1 A T H
i ; 2. Employee's actual earnings at time of injury $. M A X . _at____
The basis of pay was------
t i n 0 MONTH
i
3. Was compensation paid?---X---
HI
NO
4. Was medical treatment reccivd? X
TOTAL FAIO
W i t ALT I A T I DATI LAIT A IC IIV ID
Was all medical treatment provided by employer or insurance company?
D A T I OF L A I T PA VN I N T
X
If no, state who provided i t . ------- S o m e --s e l f --p r o c u r e d -------
ALSO S T A T E N AM ES ANO AOORCSSCS OP A LL DOCTORS WHO T R I A T C O OR E X A M I N E D POR T H I S INJURY
5. Has burial expense been paid? --XTi.l
over $ _6 jQ il.0 C L . who paid i t ? ____a p p l i c a n t .
6. This application is filed for:
Death benefit-
burial expense.
Compensation accrued and unpaid
X
Other- X
A L L B E N E F IT S PROVIDED UNDER LABOR_CODE
S p e c i f y ; ______ '
7. The employee left surviving him the following dependents:
? --
AGE
NAME .
( If U n o e r 21 )
Applicant,
R ELA TIO NSH IP TO THE EMPLOYEE
W ife..
____ ___
ADDRESS
,10603 V a le u c ia _ ,S t .-- . M o o m i n g l o r u -- Calii.^-
I M P O R T A N T -- If any applicant is under 21 years o f age, it will he necessary to file Petition for Appointment of Guardian ad Liu-ni. 1-orms for this purpose may be obtained at the ollue of the liulustri.il Accident C.ommission.
W 1IP Rill O R E , a/i/i/o mil rcijitcsls a /nor,rig and an auard /or all /'/no/irwiV In-nvjits /'<' n cnti l hd to /' y low.
D.iutl. .ir xPnUmiUo. nnd. -
. rc^' .iilitotini, _ ^-10^66-
Hearing requested at ------Estimated time of tri.il . .
P omo n a
CITY
PI, t\t vi t now
. I u ro Ulll til fl i|tU'f
LEVY, DE ROY, GEFFNR "fi*VAN BOURG
b y . G E R A i D f r : 'r`T Y R iL Y 'n u ' " 8I" t ,''`'A,`vr
416 W. F o u r t h S t . , Pnmnna
MA 3 - 2 6 6 5
#
1 fiZx LOLA J o CRADER V S . FIB ER G LA SS ENGINEERS AND THE FOLLOWING.
EMPLOYER
C . 0 . SPARKS & MUNDO
ENGINEERING C O .
1601 S . S o ta
Los A n geles, C a l.
,
C A L I F . HOME IMPROVEMENT C O .
393 N in th S t . San F ra n c is c o , C a l i f .
SYDNEY CARMINE 1834 A rth u r A v e . Fresno, C a lif.
MC N E IL STANLEY, I N C . 326 S . A t l a n t i c B lv d . Los A n geles, C a l i f .
LOCKHEED AIRCRAFT c/o F . R . R upfer,
Box 551 Burbank, C a lif .
C0RP,, Tax Manager
.
C A L IF . VERMICULITE CORP. 2100 Hyde Park B lv d . Los A n geles, C a lif .
H . K . EDWARDS GLOBE EXTERMINATING
1534 E . 78th S t .
Los A n gelas, C a lif .
ENG.
PLANT RUBBER & ASBESTOS WORKS
537 Brannan S t . San F ra n c isc o , C a l i f .
J . S . BARRETT P . 0 . Box 2126 Santa B arbara, C a lif .
MACCO MC K IT T R IC K - MORRISON C o n t r a c t Noy - 9088 Inyokern, C a li f .
MACINE ENG, & SUPPLY C O .
941 E . Second S t . Los A ngeles 12, C a l i f .
HADDOCK ENGINEERS, LTD Box 479 Oceanside, Calif.
PATE 1938
CARRIER UNKNOWN AT TH IS TIME
1938 1939 1940
1941 1941
UNKNOWN AT TH IS TIME
UNKNOWN AT TH IS TIME
UNKNOWN AT THIS TIME
C A L IF . CASUALTY C O .IN D . EXCH. 417 S . H i l l S t . , L .A . ASSOCIATED IN D .C O . (FIREM AN 'S FIT 3223 W. 6 th S t . , L . A .
,V |
' UNKNOWN AT TH IS TIME
* UNKNOWN AT TH IS TIME
1943-44-451942-46
SELF INSURED
1945
UNKNOWN AT TH IS TIME
1945
UNKNOWN AT TH IS TIME
1945-46-471948-50
UNKNOWN AT TH IS TIME
1945
UNKNOWN AT THIS TIME
yH-*;v"-" . 7iS. J*?v-
\ *t <! /
LOLA J CR7DER - P ag e #2
w luhm an brothers
/ 300 E . Coast Highway ! Newport B each, C a l i f .
UNITED CORK COMPANIES CORP cptif-y> Uer>tT*a! Ave.
; Kearny, N. J .
3
' INDUSTRIAL in s u l a t o r s , INC i Box 3388 , Houston, Toxa3
Lo A o FOSTER COo ! 1519 N . Broadway S t . Louis 6 , Miss.
THE P H IL IP CAREY MFGo C O . t Lochland J,(yl *. c l n c f a - i t i . O h io
* " JOHN I IANV IL L E SALES CORPo , 22 E . 4 0 th S t . : New York, N. Y.
KELLEY ASBESTOS PROD. CO. 2030 Grand Avo. . Kansas City, Missouri
4
RODERICK LYNCH LYNCH ASBESTOS C O . , 2152 Sacramento S t . ; Los Angeles 2 1 , C a l i f .
: J . T . THORPE, IN C . ' 948 E . Second S t .
L o s Angeles, Calif.
1945
UNKNOWN AT TH IS TIME
1946 1955
1946-47 1948-50
1946
LIB ER TY MUTUAL I N S . C O . 6006 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
UNKNOWN AT T H IS TIME
1946
( 1948-51^ \ 1953-54 !
1948
GENERAL ACCIDENT FIR E & L IF E A S S .
3535 W. S i x t h S t . Lon An^r-lcn Ca 1 f .
TRAVELERS JU S . c o .
"p
3600 W ils h ir e B lv d .
'
Loo A n gelo s, C a l i f .
'
UNKNOWN AT TH IS TIME
1948-49
UNKNOWN AT TH IS TIME
1948-49-50 1955-56-57 1958-59-60
1962
P A C IF IC EMPLOYERS GROUP 4050 W ils h ire B lv d . Los A ngelos, C a lif . AMERICAN MOTORISTS I N S . C O . 3545 W ils h ir e B lv d . Lo3 A n g e le s, C a l i f .
THORPE INSULATION C O .
2741 S . Y a te s A vo. Los A n gelos, C a l if .
METAL CLAD INSULATION CO . , INC Box 178 Torrance, C a lif.
Lo A . RUBBER & ASBESTOS WORKS 2915 E . W ashington B lv d . Los A n geles, C a l if .
J . T . THORPE & SON,
1351 Ocean A ve. E m ery v ille , C a lif .
IN C.
1 9 4 8 -5 0 -5 1 1952-53-55
U_955
1 9 4 9 -52
FIR EM A N 'S FUND - AMERICAN I N S . COS 3223 W. 6 th S t . Los A ngole3, C a l i f .
UNKNOWN AT TH IS TIME
1949 1949
UNKNOWN AT THIS TIME
PACIFIC EMPLOYERS GROUP 4050 W ils h ir e B lv d . Los Angelos, Calif.
*'r .
` x/OLA J , CF ADER
r
*
P age #3
V y.7 A . CARTER CCo i f 2521 W. N in t h / L o s Angeles 6, C a l l t .
t C . F 0 BRAUN & C O . . 1000 S . Frem ont A ve.
' Alhambra, C a l i f .
CLARK B . REECE REECE INSULATING C 0 o
; 1603 S . M ain S t . Los Angeles 1 5 , C a l i f .
. HENRY J . K A ISE R C O . 300 Lakeside D r .
K aiser C tr . O akland, C a l i f .
B & B ENGINEERING & SUPPLY
P . 0 . Box 2531 H ouston, T ex.
STANDARD ASBESTOS M FG. & INSULATING CO . 410 N . O liv e S t . Kansas City, Missouri
L a RMSTRONG CORK C O . L ib e rty & C h a rlo tte Lancaster, Pa.
Streets
0FCC0 CONSTRUCTION C O ., 2650 C h erry A ve. Long Beach, C a l i f .
INC,
DUTTON ASBESTOS & SUPPLY CO 532 Natoma S t . San F ra n c isc o , C a l i f .
COAST INSULATING PROD,
2684 Lacey S t , Los A n geles, C a lif .
LOS ANGELES CORK C O . 4180 E . Washington Los Angeles, Calif.
TOTMAN MORGAN C 0 ,, 224 S . Michigan A v e. Chicago, 1 1 1 .
PABCO INSULATION C0RP,,
} 7no M .ontqom ^ry St-. Sun F r a n c is c o , C a l i f .
1950
1950-51 1952 1950
UNKNOWN AT T H IS TIME
AMERICAN MOTORISTS IN S . C O . 3545 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
1950-51 1950 1950
INDUSTRIAL INDEMNITY CO,, 505 S . V i r g i l L o s Angeles, C a l i f .
UNKNOWN AT T H IS TIME
UNKNOWN AT TH IS TIME
1950-52-53 1955--56--60
1951
ELF-INSURED RAVELERS IN S . CO . 600 Wilshire B lv d . ,os Angeles, C a l i f . rvTTTVT/"\TiTKT A O ' TT-tTS TIME
1953
unknown at t h is t im e
1955-56-57 1958-61-62
1955-57
>\RANTEE RIATTAN
IN S. CO. -- GUARANTEE
IN S.
CO.
71 W i l s h i r e B l v d .
s A n geles, C a lif .
C I F I C EMPLOYERS GROUP
50 Wilshire B l v d .
s Angeles, C a l i f .
1957
UNKNOWN AT THIS TIME
l_959-60-61 SELF INSURED
>. 'V
CRADER - Page #4
{,;jSE STEVENSON CO ^2050 N. 1 5 th Ava.
Melrose Park, H I .
PLANT ASBESTOS C .n . 1300 - 64th St. E m eryville, C a lif .
LEE R. EKINS CO. 4933 V a lle y D lv d . Los A n geles, C a l i f .
ARMSTRONG CONTRACTING & SUPPLY CORP. 120 N . Lime S t . Lancaster, Pa.
OWENS CORNING FIBERGLASS CORP P. 0 . Box 901 Toledo, Ohio
1960
UNKNOWN AT THIS TIME
1960-61
UNKNOWN AT THIS TIME
1960 1960-61-62
STATE COMP. I N S . FUND P . 0 . Box 648 South Pasadena, C a l i f .
TRAVELERS IN S 0 C 0 o 3600 W ils h ir e B lv d . Los A n geles, C a lif .
1960-62-63 1964
AETNA CAS. & SURETY
2404 W ils h ir e B lv d . Los A n geles, C a lif .
C /(V)''7 Ci ft 4
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I
1
WORKMEN'S COMPENSATION APPEALS BOARD
2
vSTATE OF CALIFORNIA
-
3
4
LOLA J . CRADER, Widow
(W illard R. Crader, S r . D ec'd)
5
A pplicant;
64 POM 1939
6
vs.
PROVING
7
ARMSTRONG CONTRACTING 5: SUPPLY C O R P .;
^COMPROMISES
8
ARMSTRONG CORK C O .'; B & 3 ENGINEERING
& SUPPLY; CALIFORNIA HOME IMPROVEMENT
9 CC O. .F; . CBARLAIFUONRN&IAC OV.E; RCMLIACREKLITBE. RC OEERCPE.; o f
RELEASES
10
REECE INSULATING C O .; COAST INSULATING
P R O D .; C .O . SPARKS & MUNDO ENGINEERING
11 CLUOS.E; DSTUETVTEONNSOANSBECSOT.O; SH&ADSDUOPCKPLYENCGOIN.;EER S,
12 GLTLODB; EHEENXTREYRJM.INKATAIINSEGR ENC GOI.N; EHER.KS;. EINDWDUARSD S
13
T R IAL INSULATORS, I N C .; J . A . CARTER C O .;
JroKNS-MANVILLE CO RP.J J . S . BARRETT; J . S .
14 ^TKHEOLLREPYE, ASI NBECS.T; OJS. TPR. OTDH. OCRPOE.; &LESOE NR, . I NEKCI.N; S
15
C O .; LOCKHEED AIRCRAFT C O R P .J L . A . CORK
C O .; L . A . FOSTER C O .; L . A . RUBBER &
16 ALYSBNECSHT, OSLYNWCOHRKASS; BELUSHTMOSANCBOR.O; TMHEeRNSE;ILROSTDAENRLICEKY,
17 EI NNGCI.N; EM&ACCSOUPMPLcYKITCTOR.;ICKM-EMTOALRRCILSAODN; INMSAUCLIANTEION
18 "JOoWQ E, .NS-ICNOCR.N; INOGFFCFCIBOERCGOLNASTSSRUCCTOIRON? .; CPOA.B, ICNO C . ;
19 CINOS.U; LAPTLAIONNT AC OS3REPS.TJ 0TSHEC OP.;H IPLLIPANTCARRUEYBBMEREG&. .
20 AINSSBUELSATOTISNGWOCROKS.;; SSTYADNNDEYARCDA' ARSMBIENSET; OTSHMORFPGE. &
INSULATION C O .; TOTMAN MORGAN C O .; UNITED
21
CORK COMPANY; FIBERGLASS ENGINEERING 5s
22
SUPPLY, a c o r p o r a t io n ; THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an i n t e r
23
in s u r a n c e e x c h a n g e ; ASSOCIATED IND.'U'.MITY C O R P ., a c o r p o r a t io n ; LIBERTY MUTUAL IN
24
SURANCE C O ., a c o r p o r a tio n ; GENERAL ACCIDENT,F IRE & L IF E ASSURANCE CO R P., LTD.
a c o r p o r a tio n ; THE TRAVELERS INSURANCE
25
COMPANY, a c o r p o r a t io n ; P A C IF IC EMPLOYERS
26
INSURANCE COMPANY, a . c o r p o r a t io n ; ARGONAUT INSURANCE COMPANY, a c o r p o r a t io n ; EMPLOYER
27
L IA B IL IT Y ASSURANCE CORP, L T D .; AMERICAN MOTORISTS INSURANCE COMPANY, a c o r p o r a t io n
28
FI_REM AN'S FUND INSURANCE COMPANY, a c o r p o
r a t i o n ; INDUSTRIAL INDEMNITY COMPANY, a
29
c o r o o r a t i o n ; GUARANTEE H<SUP.'>KC& COMPANY, a c o r p o r a t io n ; STATE COMPENSATION INSUR
30
ANCE FUND;
toot ! n d j it r
lu itritl
-1-
CASE NO. 64 POM 1939
1 THE AETNA CASUALTY & SURETY COMPANY, a c o r p o r a t io n ; UNITED P A CIFIC INSUR
2 ANCE COMPANY, a c o r p o r a t io n ; NATIONAL AUTOMOBILE & CASUALTY INSURANCE COM
3 PANY, a c o r p o r a tio n ; RELIANCE INSUR ANCE COMPANY, a c o r p o r a t io n ; FID ELITY
4 & CASUALTY COMPANY OF NEW YORK, a c o rp o ra tio n ,
5 Defendants.
6
7
8
A p p lic a n t and th e fo llo w in g d e fe n d a n ts : P A C IF IC EMPLOYERS
. 9
INSURANCE COMPANY, a c o r p o r a t io n ; GENERAL ACCID EN T, F IR E & L IF E
10 ASSURANCE t CORPORATION, L T D .; EMPLOYERS MUTUAL L IA B IL IT Y INSURANCE
11
COMPANY OF W ISCO NSIN , a c o r p o r a t io n ; STATE COMPENSATION INSURANCE
12
FUND; AMERICAN MOTORISTS INSURANCE COMPANY, a c o r p o r a t io n ; GUARANTEE
13
INSURANCE COMPANY, a c o r p o r a t io n ; INDUSTRIAL INDEMNITY COMPANY, a
14
c o r p o r a t io n ; FIR EM A N 'S FUND INSURANCE COMPANY, a c o r p o r a t io n ;
15
EMPLOYERS L IA B IL IT Y ASSURANCE CORP. L T D .; CALIFORNIA CASUALTY INDEM
16
N IT Y EXCHANGE, an i n t e r - i n s u r a n c e e x c h a n g e ; NATIONAL AUTOMOBILE &
17
CASUALTY INSURANCE COMPANY, a c o r p o r a t io n ; F ID E L IT Y & CASUALTY COM
18
PANY OF NEW YORK, a c o r p o r a t io n ; RELIANCE INSURANCE COMPANY, a
19
c o r p o r a t io n ; THE AETNA CASUALTY & SURETY COMPANY) a c o r p o r a t io n ;
20
LIBERTY MUTUAL INSURANCE COMPANY, a c o r p o r a t io n ; THE TRAVELERS
21
INSURANCE COMPANY, a c o r p o r a t io n ; have f i l e d Compromises and Re
22
le a se s herein on August 10, 1967, co verin g on ly th a t period o f
23
a l l e g e d c o n t in u in g traum a w h e re in th e above named d e fe n d a n ts had
24
co m p e n sa tio n in s u r a n c e c o v e r a g e f o r th e f o l l o w i n g named d e fe n d a n t
25
em Dioyers d u rin g th e p e rio d Ja n u a r y , 1938 to March 3 , 1964.
26
COAST INSULATING P R O D .; J . T . THORPE, I N C . ; J . T . THORPE & SON, I N C . ;
27
THE P H IL IP CAREY MFG. C O .; LEE R . EKIN S C O .; LOS ANGELES RUBBER &
28
ASBESTOS WORKS; C . F . BRAUN C O .; HENRY J . KAISER C O .; METAL CLAD
29
D iSyLATION C O . I N C . ; PLANT RUBBER & ASBESTOS WORKS; THORPE INSULATION
30
C O .; LOCKHEED AIRCRAFT C O R P .; LOS ANGELES CORK COMPANY; LUSE STEVEN
31
SON C O .;
of Indwtnaf A!atio*rt Oiiimn of Intfyitnal Accidtnti Vorkmn'i Copnutt0 Apfoafl M v f Stalo of California
OIA W C A B form 61 (Rtf. 5*6 4 )
{formorty fo r 339fi>) Toon
ARMSTRONG CORK COMPANY; OWENS-CORNING FIBERG LASS
-2-
CO RP.;
CASE NO. 64 POM 1939
FIBERGLASS ENGINEERING & SUPPLY, a c o r p o r a t io n ; UNITED CORK COMPANY,
1 a c o r p o r a t io n ; ARMSTRONG CONTRACTING & SUPPLY C O R P .; JOHNS-MANVILLE
2 CO R P.; PABCO INSULATION C O R P ., s e l f - i n s u r e d , f o r th e sum o f
3 $ 7 ,5 0 0 .0 0 , in a d d it io n to a l l sums w hich may have been p a id p r e
4 v io u s ly , and r e q u e s tin g th a t th ey be approved; and t h is Board
5 h avin g co n sid ered the e n tir e r e c o r d , in c lu d in g s a id Compromises
6 and R e le a s e s , now f in d s t h a t th e y sh o u ld be ap proved ;
7 IT I S ORDERED t h a t s a id Compromises and R e le a s e s be and th e y
8
are hereby approved.
;
. 9
10 AWARD i s made in fa v o r o f : L o la J . C r a d e r , Widow o f
-
(W illard R. Crader, S r ., Deceased)
11
12 A g a in s t th e f o llo w in g :
payable by:
13 THE TRAVELERS INSURANCE COMPANY, a c o r p o r a tio n
`
14
TO: Lola J . Crader, A pplicant
$ 77.90
Levy, DeRoy, G e ffn e r & Van Bourg, fee
1, 000. 00
15
and in v e s t ig a t io n expense advanced
172.10
$ l,2 5 C T ff
18
17 PLANT RUBBER & ASBESTOS WORKS, a c o r p o r a tio n
self-in su red
'
18
TO:
Lola J . Crader, A pplicant
19 PABCO INSULATION C O R P ., s e l f - i n s u r e d
20
TO:
Lola J . Crader, A pplicant
21 P A CIFIC EMPLOYERS INSURANCE C O ., a c o r p o r a tio n
22
TO:
Lola J . Crader/ A pplicant
23 GENERAL ACCIDENT, FIRE & LIFE ASSURANCE CORP. LTD.
24 TO: L o la J . C r a d e r , A p p lic a n t
25 EMPLOYERS MUTUAL L IA B IL IT Y INSURANCE COMPANY OF 28 WISCONSIN, a c o r p o r a tio n
27
TO:
Lola J . Crader, A pplicant
9 9 4 .0 0
70.00
1 ,1 7 5 .0 0
150.00 225.00
28 STATE COMPENSATION INSURANCE FUND
29
TO:
Lola J . Crader, A pplicant
20.00
30 -3-
O tpirtm tnt of Indvitriol M iliti ** O ignon I In d v itn o l A ccid tM i Workmen') Compentolion A o p io ll 4f S to tl of Conformo
DIA WCAB Form 61 ( A n . 5-66)
(Form ffljr form 339C)l> 0n
CASE NO. 64 POM 1939
1
AMERICAN MOTORISTS INSURANCE COMPANY, a c o r p o r a tio n
2
TO:
Lola J . Crader, A pplicant
$ 1 ,7 7 0 .0 0
3 GUARANTEE INSURANCE COMPANY, a c o r p o r a tio n
4
TO:
Lola J . Crader, A pplicant
100.00
5 INDUSTRIAL INDEMNITY COMPANY, a c o r p o r a tio n
6
TO:
Lola J . Crader, A pplicant
.
'
j 265. 0
7 FIREMAN'S FUND INSURANCE COMPANY, a c o r p o r a tio n
8
TO:
Lola J . Crader, A pplicant
*
9 EMPLOYERS L IA B IL IT Y ASSURANCE C O R P ., LTD.
295.00
10
TO:- L o la J . Crader, A p p lican t
7 5 .0 0
11 CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an in ter-in su ran ce exchange
12
TO:
Lola J . Crader, A pplicant
1
13 NATIONAL AUTOMOBILE & CASUALTY INSURANCE COMPANY,
14 a c o r p o r a tio n
15.00
15
TO:
Lola J . Crader, A pplicant
2 .0 0
16 FID ELITY & CASUALTY COMPANY OF NEW YORK,
a corporation
-
17
TO:
Lola J . Crader, A pplicant
18
RELIANCE INSURANCE COMPANY, a c o r p o r a tio n
19
' TO:
Lola J . Crader, A pplicant
28.00 48.00
20 THE AETNA CASUALTY Se SURETY COMPANY, a c o r p o r a tio n
21
TO:
Lola J . Crader, A pplicant
98O.OO
22 LIBERTY MUTUAL INSURANCE COMPANY, a c o r p o r a tio n
23 TO: L o la J . C r a d e r , A p p lic a n t
20.00
24 T O T A L ..............................$ 7 ,5 0 0 .0 0
25
26 DATED AT POMONA, C A L IF .
27
28 SERVED ON ALL PARTIES
29 AS LISTED ON O FFICIA L ADDRESS RECORD
30 August 18, 1967 By________F . S z a la y
iltriil i
nia irrt 61 339)
5 66)
/[
"R eferee
WORKMEN'S COMPENSATION APPEALS BOARD
-4-
cn
Arm strong C o n tra ctin g & Supply Co.
120 N . Lime S t r e e t Lan caster, Penna.
I . 'I
WORKMEN'S COMPENSATION APPEALS BOARD
1
STATE OP CALIFORNIA 2
3 4 5
6
7 8 9 10 11 12 13 14
17 18 19 20 21
22
23 24 25 26 27 28 29 30
LOLA J . IcRAEIE*. Widow ^ f J . (W illard R. Crader, S r . D ec'd;
CASE NO. 64 POM 1939
A pplicant,
ORDER APPROVING vs.
ARMSTRONG CONTRACTING & SUPPLY CORP. ;
ARMSTRONG CORK C O . ; B & B ENGINEERING & SUPPLY; CALIFORNIA HOME IMPROVEMENT
CO ; CALIFORNIA VERMICULITE C O R P .; C . * F . BRAUN & C O . ; CLARK B . REECE o f REECE INSULATING C O . ; COAST INSULATING
PROD.; C . O . SPARKS & MUNDO ENGINEERING C O . ; DUTTON AS3EST0S & SUPPLY C O . ; LUSE STEVENSON C O . ; HADDOCK EN G IN EER S,
LTD; HENRY J . KAISER C O . ; H . K . EDWARDS GLOBE EXTERMINATING ENGINEERS; INDUS
TRIAL INSULATORS, I N C .; J . A . CARIER C O .; JOHNS-MANVILLE CO RP .; J . S . BARRETT; J . S .
THORPE, I N C . ; J . T . THORPE & SON, ^ C . ; KELLEY ASBESTOS PROD. CO.,* LEE R . E iJ ^ S C O . ; LOCKHEED AIRCRAFT C O R P .; L . A . CORK CO - L A . FOSTER C O . ; L . A . RUBBER & ASBESTOS WORKS; LUHMAN BROTHERS; RODERICK LYNCH, LYNCH AS3EST0S C O . ; M cNEIL STA^!LiY, I K C . ; MACCO McKITTRICK-MORRlSON; MACINE
ENGINE & SUPPLY C O . ; METAL CLAD INSULATION, CO I N C . ; OFFCCO CONSTRUCTION C O . , I N C . ;
OWENS-CORNING FIBERGLASS CO RP .; PABCO INSULATION CO RP .; THE P H IL IP C A R E Y M?G.
C O . ; PLANT ASBESTOS C O . ; PLAIT RUBBER & ASBESTOS WORKS; STANDARD ASBESTOS Pu G . & INSULATING C O . ; SYDNEY CARMINE; THORPE INSULATION C O . ; TOTMAN MORGAN C O . ; UNITED CORK COMPANY; FIBERGLASS ENGINEERING & SUPPLY, a c o m o r a t i o n ; THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE an
COMPROMISES and
RELEASES
insurance exchange;
to X
CO RP ., a c o r p o r a t io n ; LI3ERTY mUTUAL IN
SURANCE C O . , a c o r p o r a tio n ; GENERAL
ACCIDENT .F IR E & L IF E ASSURANCE CORP., L^D.
a c S p o r a t i o n ; THE TRAVELERS INSURANCE
COMPANY, a c o r p o r a t io n ; P A C IF IC E ^ j ^ R S
INSURANCE COMPANY, a c o r p o r a t i o n ; ARGCMuri
INSURANCE COMPANY, a c o r p o r a t i o n ; EMPLOYER, L IA B IL IT Y ASSURANCE CORP, L T D .; AMERICAN _ MOTORISTS INSURANCE COMPANY, a c o r p o r a t i o n , FIR EM A N'S FUND INSURANCE COMPANY, a c o r p o r a t i o n ; INDUSTRIAL INDEMNITY COMPANY, a
c o t a t i o n ; O W M i m WS-JBWSOE CO.YPANY, a c o r p o r a tio n ; STATE COMPENSATION INSUR-
ANCE FUND;
-1-
D to a rtm tn l of In tf u it m l R f lit io M O iTitior of In t d in jl A ld J t M t
o- km r Cc^Ctnva(>on A sp ta H 8o*rtf Still ' CjR'.v i .i
r i v . - * 0. r v n f . \ (R t. 5 -W ) l V-
CASE NO. 64 POM 1939
1 2 3 4 5
6
7 8 . 9 10 11 12 13 14 15 16 17 18 19
20
21
22
23 24 25 26 27 28 29 30
31
Intfutlrti u itriii A n g tn itti* rma Of* * 339)
/T
CHE AETNA CASUALTY & SURETY COMPANY, c o r p o r a t io n ; UNITED P A CIFIC INSUR ANCE COMPANY, a c o r p o r a t io n ; NATIONAL AUTOMOBILE & CASUALTY INSURANCE COM PANY, a c o r p o r a t io n ; RELIANCE INSUR ANCE COMPANY, a c o r p o r a t io n ; FID ELITY it CASUALTY COMPANY OF NEW YORK, a c o r p o r a tio n ,
D efe n d an ts.
A p p lic a n t and th e fo llo w in g d e fe n d a n ts : P A CIFIC EMPLOYERS INSURANCE COMPANY, a c o r p o r a t io n ; GENERAL ACCIDENT, FIRE & LIFE ASSURANCE CORPORATION, L T D .; EMPLOYERS MUTUAL L IA B IL IT Y INSURANCE COMPANY OF WISCONSIN, a c o r p o r a t io n ; STATE COMPENSATION INSURANCE FUND; AMERICAN MOTORISTS INSURANCE COMPANY, a c o r p o r a t io n ; GUARANTEE INSURANCE COMPANY, a c o r p o r a t io n ; INDUSTRIAL INDEMNITY COMPANY, a c o r p o r a t io n ; FIREMAN'S FUND INSURANCE COMPANY, a c o r p o r a t io n ; EMPLOYERS L IA B IL IT Y ASSURANCE CORP. L T D .; CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an in t e r - in s u r a n c e e x ch a n g e ; NATIONAL AUTOMOBILE & CASUALTY INSURANCE COMPANY, a c o r p o r a t io n ; FID ELITY & CASUALTY COM PANY OF NEW YORK, a c o r p o r a t io n ; RELIANCE INSURANCE COMPANY, a c o r p o r a t io n ; THE AETNA CASUALTY & SURETY COMPANY) a c o r p o r a t io n ; LIBERTY MUTUAL INSURANCE COMPANY, a c o r p o r a t io n ; THE TRAVELERS INSURANCE COMPANY, a c o r p o r a t io n ; have f i l e d Compromises and Re le a se s h erein on August 10, 1967, co verin g on ly th a t period o f a lle g e d c o n tin u in g trauma w herein th e above named d e fe n d a n ts had com pensation in su ra n c e co v erag e f o r th e fo llo w in g named defe n d a n t em ployers d u r in g th e p e rio d Ja n u a r y , 1938 t o J j a r h 3... COAST INSULATING PROD.; J . T . THORPE, I N C .; J . T . THORPE & SON, I N C .; THE PH ILIP CAREY MFG. C O .; LEE R . EKINS C O .; LOS ANGELES RUBBER & ASBESTOS WORKS; C . F . BRAUN C O .; HENRY J . KAISER CO.,* METAL CLAD
INSJJLATION CO. I N C .; PLANT RUBBER & ASBESTOS WORKS; THORPE INSULATION C O .; LOCKHEED AIRCRAFT C O R P .; LOS ANGELES CORK COMPANY; LUSE STEVEN SON C O .; ARMSTRONG CORK COMPANY; OWENS-CORNING FIBERGLASS C O R P .;
t i l t ftaartf 1-66)
-2 -
CASE NO. 64 POM 1939
FIBERGLASS ENGINEERING & SUPPLY, a c o r p o r a t io n ; UNITED CORK COMPANY,
1
a c o r p o r a t io n ; ARMSTRONG CONTRACTING & SUPPLY C O R P .; JOHNS-MANVILLE
2 CO R P.; PABCO INSULATION C O R P ., s e l f - i n s u r e d , f o r th e sum o f
3 $ 7 ,5 0 0 .0 0 , in a d d it io n to a l l sums w hich may have been p a id p r e
4
v io u s ly , and r e q u e s tin g th a t th ey be approved; and t h is Board
5 h avin g co n sid ered the e n tir e r e c o r d , in c lu d in g s a id Compromises
6 and R e le a s e s , now f in d s t h a t th e y sh o u ld be ap p ro ved ;
7
IT IS ORDERED t h a t s a id Compromises and R e le a s e s be and th ey
8
are hereby approved.
;
. 9
10
AWARD i s made in fa v o r o f : L o la J . C r a d e r , Widow o f (W illard R. Crader, S r ., Deceased)
11
12 A g a in s t th e f o llo w in g :
payable by:
13 THE TRAVELERS INSURANCE COMPANY, a c o r p o r a tio n
14
TO: Lola J . Crader, A pplicant
' Levy, DeRoy, G e ffn e r & Van Bourg, fee
15
and in v e s t ig a t io n expense advanced
16
17 PLANT RUBBER & ASBESTOS WORKS, a c o r p o r a tio n
self-in su red
'
18
TO:
Lola J . Crader, A pplicant
19 PABCO INSULATION C O R P ., s e l f - i n s u r e d
20 TO: Lola J . C rad er, A p p lican t
21 PA CIFIC EMPLOYERS INSURANCE C O ., a c o r p o r a tio n
22
' TO:
Lola J . Crader/ A pplicant
23 GENERAL ACCIDENT, FIR E & LIFE ASSURANCE CORP. LTD..
24
TO:
Lola J . Crader, A pplicant
25 EMPLOYERS MUTUAL L IA B IL IT Y INSURANCE COMPANY OF 26 WISCONSIN, a c o r p o r a tio n
27
TO:
Lola J . Crader, A pplicant
28 STATE COMPENSATION INSURANCE FUND
29
. TO:
Lola J . Crader, A pplicant
< / /r t
,$ 7 7 .9 0 c 1 000.00 172.10
$1, 250'.m
9 9 4 .0 0 70.00
1 ,1 7 5 .0 0 150.00
225.00 20.00
30 -3 -
1 lAdWtUl
difluipt ttfrni ial lti
tt ta ll
vrii
Fa m 61
5-66)
tm
339)
0>i
t '
CASE NO. 64 POM 1939
1 AMERICAN MOTORISTS INSURANCE COMPANY, a c o r p o r a tio n
2
TO:
Lola J . Crader, A pplicant
$ 1 ,7 7 0 .0 0
3 GUARANTEE INSURANCE COMPANY, a c o r p o r a tio n
4
TO:
Lola J . Crader, A pplicant
100.00
5 INDUSTRIAL INDEMNITY COMPANY, a c o r p o r a tio n
6
TO:
Lola J . Crader, A pplicant
.
7 FIREMAN*S FUND INSURANCE COMPANY, a c o r p o r a tio n
8
TO:
Lola J , Crader, A pplicant
265. 0
295.00
9 EMPLOYERS L IA B IL IT Y ASSURANCE C O R P ., LTD.
10
TO:' Lola J . Crader, A pp lican t
75*00
11 CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an in ter-in su ran ce exchange
12
TO:
Lola J . Crader, A pplicant
'
13 NATIONAL AUTOMOBILE & CASUALTY INSURANCE COMPANY,
14 a c o r p o r a tio n
15*00
15
TO: Lola J . Crader, A pplicant
2 .0 0
16 FID ELITY & CASUALTY COMPANY OF NEW YQRK,
a corporation
-
17 TO: Lola J . Crader, A pplicant
28.00
18
RELIANCE INSURANCE COMPANY, a c o r p o r a tio n
19
'
TO:
Lola J . Crader, A pplicant
48.00
20
THE AETNA CASUALTY & SURETY COMPANY, a c o r p o r a tio n
21
TO: Lola J . Crader, A pplicant
98O.OO
22 LIBERTY MUTUAL INSURANCE COMPANY, a c o r p o r a tio n
23 TO: L o la J . C r a d e r , A p p lic a n t
2 0 .0 0
24 T O T A L ..............................$ 7 ,5 0 0 .0 0
25
26 DATED AT POMONA, C A LIF.
27
28 SERVED ON ALL PARTIES
29 AS LISTED ON O FFICIA L
ADDRESS RECORD
30 August l 8 , 1967
/
By________F , S z a la y '
iM vItr ilt'ill ,
mip f n t t l i
>fm 61 i 339)
rill 5-66)
WORKMEN'S COMPENSATION APPEALS BOARD -4-
October 24, 1966
Mr. J . S . MoQnughsy d ia la Supervisor
Belience Insurance Campanie* 548 8 . Klngslsy Drive Los Angeles, C a lifo rn ia 90005
Dear Mr. MoQaughqrt
la i Tonar T ile Ve. 7158 Armstrong Cork Company W illard Ondar Dooeasod
Tour lottar of October 19 va* reoelved by us today. Wo replied to your lottar of August 5 andar dato of August 16. However, so your film s may bo compiste wo attach two oopies of a ll pertinent eorroopcndonoo wo baro in our file s on this ease.
6/22/66 - (Xur f i r s t n o tific a tio n . From the le v firm o f Levy DeRay, Qoffhor A Tan Bourg.
6/29/66 -
Our le tte r to Workmen's Compensation Appeals Board, Pomona advising them o f our insurance carriers and th at wo wore net self-in su red a t any tim e. (Copy o f th le le tte r to Alex* andar Agency, Pittsburg^ our agents whoa vs insured with Standard in cid en t)
6/30/66 - Alexander Agency'a advlee they were notifying Bollano# 2hsurmoe Company by eopy e f eur letter of 6/29/66.
7/ll/66 - Letter from Travelers with enclosure.
7/25/66 - Our reply to Travels together with data sheet shoving a l l the information wo have available on the employment of Mr. Grader.
8/5/66 - Tour letter of August 5*
8/16/66 - Our latter in p ly .
W/26/66 - L istin g shewing eur V .O . coverage from t950 through 1962.
Tery tru ly yours,
Bnolesuree
Mabel 1 . Barnet Inaurane# Department
RELIANCE INSURANCE COMPANIES
LOS ANGELES BRANCH OFFICE, 548 S. KINGSLEY DRIVE, LOS ANGELES, CALIFORNIA 90005 T E L DUNKIRK 5-7171
AIR WAIL SPECIAL DELIVERY
October 19 1966
Armstrong Cork Company,
Lancaster, Pennsylvania 1760I4
Attn: Mr. Wallace B. H offerth , Insurance Manager
Re: Our Fi le No Insured Claimant
7158 Armstrong Cork Company Wi I lard Crader, Deceased
Dear Mr. Hofferth:
Your a tte n tio n is drawn to our inquiry of August 5 1966, concerning the above matter.
I f that inquiry has been misplaced, th is is to advise the background
of the matter. The widow, in th is matter has cited Reliance Insurance
Company, in addition to other defendants, a lle g in g a death claim under
the Workmen's Compensation Code of the State of C a lifo r n ia . The A p plication on behalf of the widow alleges that the deceased was
employed by your firm in the periods 1950. 1952 and 1953. for which period you were apparently s e lf-in s u r e d . Also from 1955. 1956 and i960,
during which time your coverage was carried by Travelers Insurance
Company. A d d itio n a lly , by Los Angeles Cork Company of i4180 East
Washington, Los Angeles, fo r the period 1955 through 1957 and also by Armstrong Contracting of Lancaster fo r the years I960 through 1962, at which time your coverage was again carried by Travelers Insurance Company.
Our concern is fo r the years 1955 through 1957* Inasmuch as l i t i g a t i o n is now scheduled for the early part of November, I would very much
appreciate your consulting your records fo r not only the policy period
fo r the l a t t e r dates, but also fo r the years 1950 and 1951
I would very much appreciate hearing from you at your e a r lie s t conveni ence.
Yours very t r u ly ,
JDMc:es
J. D. McGaughey Claim Supervi sor
Reliance Insurance Com pany I Ralianca Standard U fa Insuranca Com pany I Planet Insurance Com pany
October 24, 1966 MSBamet, Ins. Dept.
WORKMEN'S COMPENSATION COVERAGE - STATE OF CALIFORNIA ARMSTRONG CORK COMPANY
and from 1/1/58 - Armstrong Contracting and Supply Corporation (subsidiary)
C a lifo r n ia Policy No.
Tear 1950 Standard Accident InsuranceCompany
1951
"
1952
1953 1954 1955 1956 1957
1958
Travelers Insurance Company
" " " " "
"
1959 1960 1961 1962
AZ-6888000 AZ-718480
ROB-2047243 2673804 3386210
4490459 499ti5l8
6483814 7226992
(
7768159
(
7595409
(
8659227
(
8659228
(
9041878
(
9041863
(DRUB-9321343
(
9321342
Armstrong and Armstrong (ontracting & Supply Armstrong
acsa
Armstrong ACSS Armstrong AC&S Armstrong
AC&S
T/1/63 - With Aetna Casualty & Surety Company
NOES --
The contracting operations of Armstrong Cork Company and Armstrong Contracting and Supply Corporation have ALWAYS been insured -- never self-insured.
The only location where we have self-insurance is out South Gate, California Plant, which is entirely separated from our contracting operations, and which has been seif-- insured from Jan. 1, I960.
DEPARTM ENT O F IN D U STR IA L RELATIONS
D IV IS IO N O F IN D U S T R IA L A C C ID E N T S
WORKMEN'S COMPENSATION APPEALS
~
STATE OF C A LIFO R N IA
BOARD
LOLA J. CRADER (Widow), (Willard R. Grader, Sr., Deceased)
Applicant.
vs.
ARMSTRONG CONTRACTING & SUPPLY CORPORATION; THE TRAVELERS INSURANCE COMPANY, a corpora tion, et al.
C a s e N o . 64 POM 1939
Notice of Time and Place of
Further Hearing
Defendant. / __________________ /
N O T IC E T O A LL PARTIES You are hereby notified that further hearing will be held in the above-entitled action at
1:30 P.M. NOVEMBER 10, I966
436 W. 4th Street Pomona, California
Ra. 217
1
WORKMEN'S COMPENSATION APPEALS BOARD
Dated at PQM0HA# CALIFORNIA
B> w. a. s e n e s
Rrferte in Charge Date
NOTE: CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED.
PARTY SERVED AS CH E CK ED ON OFFICIAL ADDRESS RECORD
Date: 10-4-66 By: P. Szalay
O I A W C A 8 F o r m 2 3 HCV formerly Form 4 0 0 *
6 6)
V . / t b* IO M O t
D EPARTM ENT O F IN D U STR IA L RELATIONS
D IVISIO N OF INDUSTRIAL. ACCIDENTS
WORKMEN'S COMPENSATION APPEALS
STATE OF CALIFORNIA
BOARD
LOLA J. CHADS (Widow), (Willard H, Grader, Sr, Deceased)
Cate N o. ^ 1 9 3 9
Applicant
vs.
AMBTHOWa COTRACTI8Q A SUPPLY CORPORATION) THE TRAVELERS INSURANCE COMPAWT, s corpora tion, et al.
Defendants
Order Joining Party Defendant
Good Cause Appearing:
IT IS ORDERED THAT
FIDELITY AND CASUALTY COMPANY 09 NSW YORK, a corporation, AHMAOT INSURANCE COMPANY, a corporation,
be joined as a party defendant herein.
DATED A* POMONA, C A L I F . ____________ J. C. STOWE ...... ..
Referee, WORKMEN'S COMPENSATION APPEAU BOARD
SERVED ON ALL PARTIES LISTED ON THE OFFICIAL ADDRESS RECORD
Datt:C] 4 J.i.l.l).
F Szalay
D(FIAorWmGerAlByFfooarmm93346(R) ev s.e>
11041.*OJ t ea M M <D OSF
DEPARTMENT OF INDUSTRIAL RELATIONS
WORKMEN'S COMPENSATION APPEALS BOARD
STATE CF CALIFORNIA
-------------------------------------------------------------------------------------- -
LOLA J. CRADER (Widow), (W illard R. Crader, S r ., D eceased),
Applicane if
C A S E N O . 64 POM 1939
M IN UTES OF H E A R IN G
(
)
vs.
I
ARMSTRONG CONTRACTING & SUPPLY CORPORATION; (
THE TRAVELERS INSURANCE COMPANY, a c o r p o r a - l
tio n , et a l,
1
Defendants
7
Place and Time:
D e p t. B , Pomona, C a lifo r n ia August 26, 1966, 1:30 P . M .
Referee: Reporter:
H onorable J . C . STONE Gladys R. Selden
Appearances:
Lola J . Crader, ap p lican t
Levy, DeRoy, G e ffn cr & Van Bourg by Gerald J . Tiernan, attorneys fo r applicant
Weingand, Kenaig & S tock w ell by Ross C . Irw in , atto rn eys fo r The T ra v e le rs In su rance Company, a c o rp o ra tio n ,
c a r r ie r fo r Armstrong Cork Company, Armstrong C o n tractin g & Supply C orp oration , and Jo h n s M a n v ille C o r p o r a tio n , ..........- - -- __
and attorn eys fo r The Aetna C a su a lty & Su re ty Company, a c o rp o ra tio n ,
c a r r ie r s fo r F ib e rg la ss Engineering & Supply
Company, a co rp o ra tio n
Jackson & Barrie by Frank S . Snodgrass, attorneys fo r P a c if ic Employers Insurance Company, a co rp o ra tio n ,
ca rrie r fo r J . T . Thorpe, I n c ., J . T . Thorpe & Son, I n c ., and Coast In su la tin g Products
Hanna & Brophy by Sherman G r a n c e ll, a tto rn e y s fo r American M o to rists Insurance Company, a c o rp o ra tio n ,
c a r r ie r fo r C . F . Eraun & C o ., and J . T. Thorpe, In c .
S ta te Compensation In surance Fund by James L . G a r c ia , c a r r ie r fo r
Lee R. E klns Company, and L . A . Rubber & A sb esto s Works
Clopton & Penny by Mort L . C lo p to n , atto rn ey s fo r F i d e l i t y & C a s u a lt y Company o f New Y o rk , a c o r p o r a t io n ,
c a r r ie r fo r Luse Stevenson Company, and a tto rn e y s fo r R e lia n ce In surance Company, a c o rp o ra tio n ,
a lle g e d c a r r i e r f o r Arm strong Cork Company
CaSE 1(0. D4 y CM 1939
Rodney X . Munson, R ep resen tative o f ^ ^ ff^ rn ia C asu alty indem nity Exchange,
inter-nsuaanco exchange, c a rrie r fon Lockheed A ir c r a ft Corporation
C r id e r , T ilc o n L Ruppe
by R ic h a r d T . Moon.au, a t to r n e y s f o r
General Accident Eire & L ife Assurance Corporation
Lim ited, ca rrie r fo r
'
The P h i l i p C arey M a n u fa c tu r in g Company
A lbert A. Atkinson, Representative o f N atio n a l Automobile and C asu alty Insurance
a corporation, ca rrie r fo r Los A n g e le s Cork Company
Company *
Parker & D ally
by John P . P arker, attorn eys fo r
Firem en 's Fund In surance Company, a co rp o ra tio n c a r r ie r fo r Thorpe In s u la t io n Company, and
a tto r n e y s fo r I n d u s t r ia l Indem nity Company, a corporation, ca rrie r fo r P la n t Rubber & A sbestos Works, M etal Clad In s u la t io n Company, I n c ., and Henry J . K a is e r Company, and
a tto rn e y s fo r Guarantee In surance Company, a corporation, ca rrie r fo r Coast In s u la tin g P ro d u cts, and
a tto rn e y s fo r A s so c ia te d Indem nity Company, a corporation, ca rrie r fo r Lockheed A ir c r a ft C o rp o ratio n , and a lle g e d c a rrie r fo r B & B Engineering & Supply
GOOD CAUSE APPEARING THEREFOR:
IT I S ORDERED t h a t , on n o t io n o f a t t o r n e y f o r a p p lic a n t ; uniteci P a c i f i c In su rance Company, a c o rp o ra tio n , i s jo in e d as a p a rty d efen dan t, as the a lle g e d insurance c a r r ie r fo r Pabco In s u la tio n Corpora-
DISPOSITION:
T h is m a tte r i s co n tin u e d on n o t ic e to a l l p a r t i e s , fo r a f u l l day o f h e a r in g , to be s e t a f t e r November 1,
1966, to perm it time to o b ta in fu r th e r m ed ical r e p o r ts .
POMONA, CALIFORNIA
T)
R eferee
WORKMEN'S COMPENSATION APPEALS BOARS
S e r v ic e on a l l p a r t ie s l i s t e d on O f f i c i a l Address R ecord: - U - y -
! . . '.o : September* 3M 1 ~33
uj ;
- - `-I j
August 16, 1966
AIR MAIL
Mr. J . 0 . Mcflaughey Clxda Supervisor Reliance Insurance Companies i&8 South Kingsley Drive Los Angeles, C a lifo rn ia 90002
- i* [yfi
Dear Mr* McOaughay:
S u b je c ti
W illard Grader
v e rsu s-----^ Arastrong Cork Ccopany li Others Your F ile 7158
Standard Accident Insurance Company insured our vorteaen's compensation lia b ilit y
in C a lifornia, except the South Gate P lan t, in 1920 and 1921 under p o licy mnlbers AZ 688800 and AZ 7l8b80 resp ectively.
Very tru ly youre,
Wallace B . Hofferth
Insurance Manager DHB
Mr. B. R. Shriver Alexander Agency, Inc. 316 Fourth Avenue Pittsburgh, Pennsylvania 15222
RELIANCE INSURANCE COMPANIES
LOS ANGELES BRANCH OFFICE, 548 S, KINGSLEY DRIVE, LOS ANGELES, CALIFORNIA 90005 TEL DUNKIRK 5-7171
AIR MAIL
August 5, 1966
Armstrong Cork Company
Lancaster, Pennsylvania 17604
Attention: Mr. Wallace B. Hofferth Insurance Manager
Re: Our File Insured Claimant
7158
Armstrong Cork Co. Willard Crader
Dear Mr. Hofferth:
A copy of your June 29, 1966, letter directed to the Workmen's Compensation Appeals Board at Pomona, California, has been forwarded to this office for appropriate handling.
Along with other parties we are listed as party defendant in this action which is now scheduled for hearing August 26, 1966.
I would appreciate very much if you could advise the policy number under which Reliance Insurance Company and/or Standard Accident Insurance Company carried coverage for your company in 1950 and 1951.
This information would be of great assistance in properly defending your interests and in view of the scheduled litigation I would appreciate hearing from you at your earliest convenience.
Very truly yours,
JDMc :tng
J. D. McGaughey Claim Supervisor
Rollane* Inaurane* Com pany
Planai Inaurane* Com pany
DEPARTMENT OF INDUSTRIAL RELATIONS D IVISIO N OF INDUSTRIAL ACCIDENTS
WORKMEN'S COMPENSATION APPEALS
STATE O F C A L IF O R N IA
"
BOARD
LOLA J. CRADER (WIDOW) WILLARD R. CRADER (DECD)
vs.
Case N o . ^ P0M 1939 Applicant_ N ot ic e o f H e a r i n g
FIBERGLASS ENGINEERS, ET AL
AETNA CASUALTY- k SURETY COMPANY, a corp ET AL
DefenanUL /
You are hereby notified that an application for compensation has been filed with the W O R K M E N 'S C O M P E N S A T IO N AP PEA LS B O A R D of the State of California. Y ou are further notified that said application has been set for hearing at
I4.36 WEST FOURTH STREET
POMONA, CALIFORNIA
AUGUST 26, 1966
1:30 P.M.
and that at said time and place the W O R K M E N 'S C O M P E N S A T IO N A P PE A LS B O A R D will proceed to hear and dispose of the said application in the manner prescribed by law.
WORKMEN'S COMPENSATION APPEALS BOARD
B, W. G. BLNES Aisistdmt Stertiary
Date
.
. .
.
.
July 29, 1966
N O T E The parties are expected to submit ail disputed Issues for decision at this hearing. A ll witnesses, evidence, medical reports, pay
rolls and other proof must be available at the hearing. C O N T IN U A N C E S W IL L BE G R A N T E D O N L Y U P O N A C L E A R S H O W IN G
O F G O O D C A U SE . Requests for continuances are to be made within 3 days of the date of this notice.
N O T E TO I N S U I U P F M E f QYVRS: Your ittendance at this hearing may not he necessary Ahk >our insurance company.
D EPARTM EN T O F IN D U STRIA L R ELA TIO N S
DIVISIO N OF IN D U STR IA L ACCIDENTS
WORKMEN'S COMPENSATION APPEALS
STATE OF CALIFORNIA
BOARD
Case N o . ^
1*39
LOLA GRaLH (>IDCu) WILLaHB 3 . CiiALis.it ()^*)
VS.
Applicant
KlbMiLASiS iTJIHiLflS, Ll AL
Al-:r*A C A . ' C A L T V k 0 . L ( r , V
BT AL
-.'U*AN Y , a corp Defendants
Order Joining Party Defendant
V
Good Cause Appearing:
IT IS ORDERED THAT
RK3 a HO* 1 C0U JJ.'IPAfcY' ASI) K&LlACr: DiwuiUaCsi COTA#,a LOS A#Cr:^L-S OOh. COM'A T AND <A i' j Na L a 'JTO mWD CALJALTT IisdttAGCn COTANT, a corp
OPPCO COKSTrtUCTluli - -ITA#*, INC., AiiD U.MLD TAOlflG i ri3uH. Ce. CU Mi-AUY , corp
oorp
and a l l p a r t i t a aa anown o u l o t t a r datad June 2 2 , l y o .
be joined as a party defendant herein.
Referee, WORKMEN'S.COMPENSATION APPEALS BOARD
SERVED ON ALL PARTIES LISTED
O N T1IE OHTCIAL ADDRESS RECORD
Date:
By:
; L i /"a6
y Vi s
June/ 22 1966
f
Workmen's Compensation Appeals Board 436 West Fourth Street Pomona California
.Re* Lola Crader vs Fibreglass Engineers et al
i
Gentlemen*
There is enclosed an application in the above matter for death benefits
It is respectfully requested that this case be joined with 64 POM 1939 previously filed and that the entire
matter be set for hearing.
:
Very truly yours
GERALD J. TIERIIAN
GJT*ro cos All parties served (See attached list)
State of California Industrial Accident Commission
A P P LIC A T IO N
(Death Case)
U-iftlL Af'JDf.-i f-'ji'.'.'iliSlON--
FILE SIGNED ORIGINAL AND SIX COPIES
(PLEASE PRINT OR TYPE NAMES AND ADDRESSES)
. L O L A . J ^ - C B A D E I L ..
AfPl KANT
C A S E N o . 64 POM 1 9 5 9
10603- V a l e n c i a Sfera -- A m IC A N I S A O D f iL S S
B l o o m i n g t o n --C a l i f . --
- W i l l a r d - R .~ C r a d c r DECEASED L H P L Q i t E S NA MC ANO SOCIAL SECURITY NU MBER
572-05-5511
FIBERGLASS ENGINEERS, and ATTACHED L I S T EMPLOYER
AETNA C A S . & SURETY C O . &
A T T A C H E D -L IS T _______________________
EMPLOYER $ INSU RAN CE CARRIER OR S TAT E IF SELF IN SU R ED OR
PC R M ^S IB IT UNINSURED
*
5933 T e le g ra p h RcL
EMPLOYER S ADORES*
________ L o s A n g e l e s C a l i f --
.-- -- 2404 W i l s h i r e B l v d .
INSURANCE CARRILR S ADDRESS
______ L o s A nge l e s C a l i f .
i. u is alleged th at..
W i lla r d . R ._ C r a d e r ,. S r
NAME OF CM P I OY C E
1 -3 8
1-18-0. 7
to
DATE OF BIRTH
, while employed as a
a s b e s t o s , w o rk e r ___________________________ on ..3 r r 3 - 6 4 __________ ..I9_ , at . L . A j . ___________ , California,
OCC UPAT ION AT T I M E OF I NJ UR Y
DATE OF INJURY
'
CITY
by__ F i b e r g l a s s E n g i n e e r s ^ e t . a l _______________ sustained injury arising out of and in the course of employment
HANC OF EMPLOYE
to _ .lungs., body,
PARTS OF BODY
____, as follows:___ exposure to. ir r ita n ts .
E X 1*1 A I H M O M I N J U R Y W A `j R E C E I V E D
2. Employee's actual eai
__________________ resulting in death o n 3 --7 --6 6
DATE o r DAA1II
at time of injury $. MAX, _at____
WEEK 0 MONTH
The basis of pay was-
3. Was compensation paid?
X _ . -----------
YI *
NO
$
TOTAL PAIO
y
4. Was medical treatment received? ---------- -------
YES
NO
WEEKLY RATE DATE LAST RECE1V10 .
Was all medical treatment pioviiled by employer or insurance company? ---- ------
If no, state who provided it.
Some, s e lf , procu red
D ATE OF LAST PAYMENT
X
A t S O S TAT E NAMES AN D ADOBESSES OF A L L D O C T O I S WHO THE ATE D 0 E XA M I N E D FOB T HI S I HJUHY
J. Has burial expense been paid? --X ----
Tt S
over
$ 5Q CL..0Q . who paid it? _ . a p p l i c a n t .
i . This application is filed for:
Deatli benefit- X________ burial cxpensc-
Compensation accrued and unpaid
X
Otl.i
x >pccii ); ALL BENEFITS PROVIDED UNDER LABOR CODE
7. The employee left surviving him the following dependents:
NAME
AGE
( IP U U I A R 2 1 )
A p p lican t
REI ATiONSHIP TO THE EMPLOYEE
Wife
ADDRESS
10603 V a l e n c i a . S t . ___ Bloominciton. Califs.
I M P O R T A N T - If ms i p p l , . . m i is under -U u irs o f i ge, it is dl k n e u . mi v to file k t i i . m i loi ' p p u n i m e n t o f G u a i d i a n ad
L u m i . ! mi l l s l or tins p urpo . m a y be obt lined at the ollise ot t he l . u l u s t i i i l A e s i d e i u < m n i ' ir. mu. Wi l l R 1 I O R L, .i/i/i/u .111/ rtt/itiili a he a r i ng m i l an iiiaril o r all 1/'o oiriiiti' /vm/i/i he n n i h l L - l l o b y Luc .
l i e a r mg requested at
Pomona
Dated at.. P o m n a
V CITY
y?.1 i. 1 ;1 LEVY, DE R O Y ,
Cablili mi, 6--10--66
L s i 'V . CENTNER '.'"VAN BOURG
I stnn.ued time of dial
"l n i now .
! 1 1. nr ; i I :
>. A
U Y . CER 7JJ) T.1'TfllRMA.N............ i1 ,i
43f. W ..Four th S 1 . , I'oninn n I.A 3-2665
R EI LOLA J . CFADER v s . FIB ER G LA SS ENGINEERS AND THE FOLLOWING
EMPLOYER
C. G . SPARKS & MUNDO
ENGINEERING C O . 1601 S . S o ta Los A n geles, C a l.
C A L I F . HOME IMPROVEMENT C O . 393 N in th S t . San F ra n c is c o , C a l i f .
SYDNEY CARMINE
1834 A rth u r A v e . Fresno, C a lif.
MC NEIL STANLEY, INC. 326 S . A t l a n t i c B lv d . Los A n geles, C a lif .
LOCKHEED AIRCRAFT c/o F . R . R upfer, Box 551 Burbank, C a lif .
CORP. Tax Manager
CALIF. VERMICULITE CORP.
2100 Hyde Park B lv d . Los A n geles, C a lif .
H . K . EDWARDS GLOBE EXTERMINATING 1534 E . 78th S t .
Los A n geles, C a lif .
ENG.
PLANT RUBBER & ASBESTOS WORKS 537 Brannan S t . San F ra n c isc o , C a l i f .
J . S . BARRETT P . 0 . Box 2126 Santa B arbara, C a l i f .
MACCO MC K IT T R IC K - MORRISON C o n tr a c t Noy - 9088 Inyokern, C a li f .
MACINE ENG. & SUPPLY C O . 941 E . Second S t . Los A ngeles 12, C a l i f .
HADDOCK ENGINEERS, LTD.
Box 479 O ceanside, C a l i f .
DATE 1938
CARRIER UNKNOWN AT T H IS TIME
1938 1939 1940
1941 1941
UNKNOWN AT T H IS TIME
UNKNOWN AT TH IS TIME
UNKNOWN AT TH IS TIME
C A L IF . CASUALTY C O .IN D . EXCH.
417 S . H i l l S t . , L .A . ASSOCIATED IN D .C O . (FIREMAN'S
3223 W. 6t h S t . , L .A .
FUND)
UNKNOWN AT T H IS TIME
UNKNOWN AT TH IS TIME
1943-44-451942-46
SELF INSURED
1945
UNKNOWN AT TH IS TIME
1945
UNKNOWN AT T H IS TIME
1945-46-471948-50
UNKNOWN AT T H IS TIME
1945
UNKNOWN AT THIS TIME
REt LOLA J a (RADER - P a g a #2
LUHMAN BROTHERS 300 E . C o a st Highway ^Newport B each , C a l i f .
UNITED CORK COMPANIES CORP. South C e n tra l Ave. Kearny, N. J .
INDUSTRIAL INSULATORS, Box 3388
H ouston, Texas
IN C.
Lo A . FOSTER C O .
1519 N . Broadway
'
S t . Louis 6, M iss.
THE P H IL IP CAREY M FG . C O . L o c k la n d
C in c in n a t i, Ohio
JOHN MANVILLE SALES CORP,,
22 E . 4 0 th S t .
.
New Y o r k , N . Y .
KELLEY ASBESTOS PROD. CO . 2030 Grand A v e. Kansas C ity , M issou ri
RODERICK LYNCH LYNCH ASBESTOS C O . 2152 Sacram en to S t . Los A ngeles 21, C a l i f .
J . T . THORPE, IN C . 948 E . Second S t . Los A n geles, C a lif .
THORPE INSULATION C O . 2741 S . Y a te s A v e . Los A n geles, C a l if .
METAL CLAD INSULATION C O ., Box 178 Torrance, C a lif.
IN C.
Lo A . RUBBER & ASBESTOS WORKS 2915 E . W ashington B lv d .
Los A n geles, C a l i f .
J . T . THORPE & SON, 1351 Ocean A v e.
E m eryville, C a lif .
IN C.
1945
UNKNOWN AT TH IS TIME
1946 1955
1946-47 1948-50
1946
LIB ER TY MUTUAL I N S . C O . 6006 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
UNKNOWN AT TH IS TIME
1946
1948-51 1953-54 1948
GENERAL ACCIDENT FIR E & L IFE 3535 W. S i x t h S t . Los A n geles, C a lif .
TRAVELERS IN S 0 CO.
. 3600 W ils h ire B lv d .
1 Los A n geles, C a lif .
UNKNOWN AT TH IS TIME
1948-49
UNKNOWN AT TH IS TIME
1948-49-50 1955-56-57 1958-59-60 1962
1948-50-51 1952-53-55 1956
1949-52
P A C IF IC EMPLOYERS GROUP 4050 W ils h ire B lv d . Los A n geles, C a lif . AMERICAN MOTORISTS I N S . C O . 3545 W ils h ir e B lv d . Los A n geles, C a lif .
FIREM AN1S FUND - AMERICAN IN S
3223 W. 6t h S t .
Los A n geles, C a lif .
UNKNOWN AT THIS TIME
1949
UNKNOWN AT TH IS TIME
1949
P A C IF IC EMPLOYERS GROUP 4050 W ilsh ire B lv d . Los A n geles, C a lif .
R E : LOLA J . CRADER - P age #3
J . A . CARTER CO .
2521 w. N in th
Los A ngeles 6, C a l i f .
C . F . BRAUN & C O . 1000 S . Frem ont A v e . Alham bra, C a l i f .
CLARK B . REECE REECE INSULATING CO . 1603 S . M ain S t . Los A ngeles 15, C a l i f .
HENRY J . KA ISER C O . 300 L a k e s id e D r . K aiser C tr . O akland, C a l i f .
B & B ENGINEERING & SUPPLY P . O . Box 2531 H ouston, Tex.
STANDARD ASBESTOS M FG. & INSULATING CO.
410 N . O liv e S t . Kansas C ity , M issou ri
ARMSTRONG CORK C O . L ib e rty & C h a rlo tte Lancaster, Pa.
Streets
OFCCO CONSTRUCTION C O ., 2650 C h erry A ve. Long B each, C a l i f .
IN C.
DUTTON ASBESTOS & SUPPLY C O .
532 Natoma S t . San F ra n cisco , C a l i f .
COAST INSULATING PROD. 2684 Lacey S t . Los A n geles, C a lif .
LOS ANGELES CORK C O . 4180 E . W ashington Los A n geles, C a l i f .
TOTMAN MORGAN CO . 224 S . M ich ig a n A v e. C hicago, 111.
PABCO INSULATION CORP. 17B9 M ontgom ery S t . San F r a n c is c o , C a .lif .
1950
1950-51 1952 1950
's
UNKNOWN AT TH IS TIME
AMERICAN MOTORISTS IN S . C O . 3545 W ils h ir e B lv d . Los A n geles, C a lif .
UNKNOWN AT TH IS TIME
1950-51 1950 1950
INDUSTRIAL INDEMNITY C O . 505 S . V i r g i l Los A n geles, C a lif .
UNKNOWN AT T H IS TIME
UNKNOWN AT TH IS TIME
1950-52-53 1955-56-60
1951
SELF-INSURED
TRAVELERS IN S . CO. 3600 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
1953
UNKNOWN AT TH IS TIME
1955-56-57 1958-61-62
" 1955-57
GUARANTEE I N S . C O . MANHATTAN - GUARANTEE I N S . C O . 1671 W ils h ir e B lv d . Los A n geles, C a lif . P A C IF IC EMPLOYERS GROUP 4050 W ils h ir e B lv d . Los A n geles, C a lif .
UNKNOWN AT TH IS TIME
1957
UNKNOWN AT THIS TIME
1959-60-61 SELF INSURED
LOLA J . CRADE l - Page #4
FUSE STEVENSOII CO* 2050 N . 15th A ve. M elrose Park, 111.
PLANT ASBESTOS C O . 1300 - 64th S t . E m ery v ille , C a lif .
LEE R . EKINS CO.
4933 V a lle y B lv d . Los A n geles, C a lif .
ARMSTRONG CONTRACTING
& SUPPLY CORP.
,
120 N . Lime S t .
'
Lancaster, Pa.
OWENS CORNING FIB ER G LA SS CO R P. P . O . Box 901 T o led o , Ohio
1960 1960-61 1960 1960-61-62
1960-62-63 1964
UNKNOWN AT TH IS TIME
UNKNOWN AT THIS TIME
STATE COMP. I N S . FUND P . 0 . Box 648 South Pasadena, C a lif TRAVELERS INS * CO* 3600 W ils h ir e B lv d . Los A n geles, C a lif .
AETNA C A S . & SURETY 2404 W ils h ir e B lv d . Los A n geles, C a lif .
JW y 25, 1966
N r. J . . Preeetsu i^ w t
The Travelers 34 Worth Fourth Street Beading, Poona 19603
Sear Sir
Subjeett
B-1235200
Am etroag Contracting and fapply Corporation
Bei L . J . Qradar / W illard 1 , Qrader, S r .
Jn answer to your le tte r dated Ju ly 11 te Nr. Hofferth eo attaeh three eapiee o f a data efaeet showing a l l the in fo r a tio n we have
*y* l l *bla W illard It. Orader, S r . Beoause a t our Betentloa a t Beoords schedule m have nothing prior te 1956. The f i r s t date o f hire our records show is Deoeaber 19, 1955 and ocntlnnes through to Ngr 3 , 1962 when hie sqplagnasnt waa terminated because o f *So Work.*
Vs alee l i s t hie earninga fa r the la a t f u l l year ha vaa sanloared ty no.
Also attached la oopgr o f la tte r dated Jane 29 to the Workmen's
OoepeneaUan Appeals Board in N o w correcting In fo r a tio n ae to
anr iaeuraaoe oanrlere.
T n y truly yours,
Nabsl S. Sisuranee Department
Willard R. Creder, Sr. SS #572-05-5511
10603 Valencia St. Bloomington, Calif.
J u ly 1 8 , 1966
This man died March 7, 1966 allegedly from asbestosis. DaLte of soldent is listed as March 3, 1964
According to application to Industrial Acoident Commission of California he worked far Armstrong Cork
Compary in 1950-52-53-55-56-60 and fo* ACSS in 1960-61 and 62. . Aa ACSp took over contracting business
January, 1958, I believe it is in error that he worked for Armstrong in i960. _
**
!
! 1
/?&
I
Will you please give me as much information as youlava on thip employee - periods of employment and reason for le ving. Go back as far as you can, ^lthough I realize that some records have bean destroyed.
-
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t, *
i
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:
Then too I would like his Weekly earnings for the last year he worked for us, presumably 1962.
:
'-rt-ss-- / -'3 -W -3
i
, r 1/ioA rM .iL
Thank you. ;
!
Mabel .;Bamet, Insurance
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TH E
T R A V ELER S
TH E TRAVELERS INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY
CLAIM DEPARTM ENT T. J . C lark, M anagkr
J u ly 11, 1966
READING OFFICE
34 North Fourth Street
R eading, Pennsylvania
19603
Telephone: 373-4243
Mr. W allace 13. Hofferl/i Insurance Armstrong Cork Company Liberty & Charlotte Streets Lancaster, Pennsylvania
Dept,
b-1 235200
Armstrong C o n tractin g it Supply Corp. He: L . J , Crader
Dear Mr. Hofferli) As per our telephone conversation o f J l y 6 , 1966, enclosed i s a l l the correspondence we have on t h i s m atter.
Very tru ly yours,
JW F:nf Enclosure
J . W. Free3ton A d ju ste r
HOME OFFICE: HARTFORD, CONNECTICUT
VISIT THE TRAVFIERS EXHIBIT
AT THE NEW YORK WORLD'S FAIR
the T R A V E R S !NTl ROFFiCE MEMORANDUM
TO:
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' i ' / a r r ^ O G J . \jJ
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341-031 C A S C E A O O M C a S A L CX CA N O
TCtCTYPC P O 891
AL EXANDER AGENCY, INC.
IN SU R A N C E -W O R LD W IDE SIN C E 1853
3 1 6 F O U R T H A V E N U E . P ITTS B U R H , PA. 15 2 2 2
June 30,1966
Wallace B. Hofferth, Insurance Manager
Armstrong Cork Company Lancaster,Pa. 17604
Dear Mr. Hofferth:
Subject:
Lola J. Crader,A] versus
Fiberglass Engin
Aetna Casualty ai Armstrong Cork C< Armstrong Contra*
3.,et al
I wish to acknowledge receipt of your copy of letter in rererence to the above.
I have forwarded this to the Reliance Insurance Company.
Very truly yours,
H.
UR S E C O N D C E N TU R Y OF IN S U R A N C E S ER V IC E
AIR MAIL
Workmen's Ccopensatlon Appeals
U36 West fourth Street
Pomona, C a lifo rn ia
Gentlemen: k),iu l A
Subject: Lola J . Crader y Applicant versus j I
Fiberglass Engineers, Aetna Casualty and Surety Company, Armstrong Cork Conqpeny, Armstrong Contracting A Supply Corp, e t a l
TS-ti application mas file d on behalf o f W illard R. Crader, Sr. , deceased
husband o f the ap p lican t. Application la made fo r a l l b en efits due under the Workman's Compensation A c t.
The n a -Mwg o f employers attached to the application shoes Armstrong Cork Conpaxv as a se lf-in su re r o f it s workmen's compensation lia b ilit y fo r the years 1950-52-53. We wish to advise th at we were not self-in su red during th at period. We were insured by Standard Accident Insurance Company, now the Reliance Insurance Company in 1950 and 1951J and in 1952 and 1953 w were insured by The Travelers Insurance Company .
We ask t i t you kindly correct your records accordingly.
Very truly, yours,
Wallace B . Hofferth Insurance Msnsgsr
DHB
Mr. B. R. Shriver, Alexander Agency, L a c ., 316 Fourth Avenue, Pittsburgh, Pennsylvania 15222
The Travelers Insurance C o ., 3600 W ilahire B lv d ., Los Angeles, Califo rn ia
ABE F. LEVY GEORGE OsROY
LEO G EFFNER JACK P. K O S 2D IN t M K R V IN N . G L O W v ARLS1GH W OODS BARRY 8ATZMAN G ERA LD J. TIE R N A N V IC T O R V A N BO UR G
Levy,
LAW O FFIC ES
DeRoy, Geffner, &
4 3 0 W . FOURTH STREET PO M O NA* C A L IF O R N IA
T e l e p h o n e : <213> y o 4-3431 (714) NA 3 -2 6 6 0
Van
,
B ourg
Los A n g e l e s O f f ic e
S U IT E SO I 1 8 2 0 W IL S H IR E B O U LEVA R D LOS A N G E LES 17, C A L IF O R N IA TELEPHONE) HUOOARO 3 * 0 6 3 0
June 22, 1966
Workmen's Compensation Appeals Board 436 West Fourth Street Pomona, California
Re: Lola Crader vs. Fibreglass Engineers, et al
Gentleu-^n:
There is enclosed an application in the above matter
for death benefits.
It is respectfully requested that this case be joined with 64 POM 1939 previously filed, and that the entire matter be set for hearing.
Very truly yours,
GERALD J. TIERNAN
GJTxrc cc: All parties served (See attached list)
Kxr
State of California % Industrial Accident Commission
A P P LIC A T IO N
(D eath Case)
FILE SIGNED ORIGINAL AND SIX COPIES
(PLEASE PRINT OR TYPE NAMES AND ADDRESSES)
--- LOLA .
CRADER
APPLICANT
CASE No.
-1 0 60 3 -V a l e n c i a -- ------------APPLICANT 1 A D O R I**
-Bloomington,_Qgi it.______
-Millard R. Crader,-- Sr0.
DECEASED EMPLOYEE S NAME ANO SOCIAL SECURITY NUMBER
572-05-5511
__FIBERGLASS ENGINEERS and ATTACHED LIST ''-on
AETNA CAS. & SURETY CO. &
____a t t a c h e d t.t s t ____________________________
EMPLOYER S INSU RAN CE CAR RI ER OR S T AT E IP SC LP -I N SU R EO OR
PERMISSIBLY UNINSURED
-
5933
T e le g r a p h R rl,
EMPLOYER'S AOORESS
T.r>R A n g e l e s , C a l i f .
-2404. -W ilshi-re--Blvd.
INSURANCE CARRIER S ADDRESS
Los A n g e l e s , C a l i f .
i. It is alleged that_____ Willard Ro Crader, S r . ____1 - 1 8 - 0 7
Kt orianoxi
1 --3 8 t O
DATs. OP BIRTH
-, while employed as a
asbestos worker
________
OCC UPAT ION A T T I M E OP I NJ U RY
?s_ E n g in e e r s , e t a 1,
NAME OP EMPLOYER
3-3-64
.19______ , at - - L . A ,
CITY
------- , California,
sustained injury arising out of and in the course of employment
to ____l u n g s , b o d y _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
FAUT* o r lo o r
as follow s:--------exposure to i r r i t a n t s
E I PLAI N HOW I NJ U RY WAS REC EI VED
resulting in death on _ 3-7--66
2 . Employee's actual earnings at time of injury $. MAX. -at___
WEEK OR MONTH
DATE OP OEATH
The basis of pay was______
3. Was compensation paid? ^
W IIALYMATS
4. Was medical treatment receiv'd?
O A T I LAST I C I I V S O
3J^as all medical treatment provided by employer or insurance company?
If no, state who provided i t . ________Some self procured___
DATA OF LAST F A Y M IN T
ALSO SYATS N A N I S ANO A O O A IS S IS O r A l l DOCYOAS WHO T S I A I I O 0 t X A N I N C D YO THIS IHJUNY
over
f. Has burial expense been paid? __X----------------- $_fLO L.O Q _. Who paid it? ________a p p l i c a n t
Y l*
NO
6 . This application is filed for:
y
y
Death benefit------------- Burial expense------------- Compensation accrued and unpaid ________ ^ ___________
Other X Specify: ALL BENEFITS PROVIDED UNDER LABOR CODE___
7. The employee left surviving him the following dependents:
NAME .
Applicant____
AGE (Ir Uno ia at )
RELA TIO NSH IP TO THE EMPLOYEE
Wif<*_
ADDRESS
J.Q603. .Valencia_S-t.
IM P O R T A N T if any applicant is under 21 years of age, it will Iv ncicssary to file Petition for Appointment of Guardian ad Litem, l-orms tor tins purpose may be obtained at the oline of the Industrial Aicident Commission.
W H E R E ! O R E , a p l i l n a n t r c / i i c t / t a / n a n n a 11,1,1
au a n i fo r all a n o m a te benefits he n entitle,l to b y laiv.
Hearing requested at . Estimated time of trial
Pomona_
CITY
1*1. is u t n o w _ , H t I n a on n t cm r* *j tje ^r
A !1 nart ios f O H M J 4 A M t u U ' 0 4 t
* ' '*
Daud at___Pomona
_ Mw.
LE V Y , DE RO Y,
-, ali l o t ni l, G EFFN E R `"V N
6- 10-66
0ATE
BOURG
BY. HE RAID ir^'TTERMTW'" 436 V/. Fourth St., Pomona
i ir */WU i
MA 3-2665.
IliU illH IKI 3 - Mt : l 9- 04 I 9M
OSP
R E , LOLA J o CRADER VS. FIB ER G LA SS ENGINEERS AND THE FOLLOWING
EMPLOYER
C . 0 . SPARKS & MUNDO
ENGINEERING C O .
1601 S . S o ta
Los A n golas, C a l.
,
C A L I F . HOME IMPROVEMENT C O .
393 N in th S t .
San F ra n c is c o , C a l i f .
,,
SYDNEY CARMINE 1834 A rth u r A vo. Fresno, C a lif.
MC N E IL STANLEY, I N C . 326 S . A t l a n t i c B lv d . Los A n geles, C a lif .
LOCKHEED AIRCRAFT c/o F . R . R upfer,
Box 551 Burbank, C a lif .
CORP. Tax Manager
.
C A L IF . VERMICULITE CORP. 2100 Hyde Park B lv d . Los A n geles, C a lif .
H . K . EDWARDS
GLOBE EXTERMINATING 1534 E , 78th S t . Los A n geles, C a l if .
ENG.
PLANT RUBBER & ASBESTOS WORKS 537 Brannan S t . San F ra n c is c o , C a l i f .
J . So BARRETT p i 0 . Box 2126 Santa B arbara, C a li f . .
MACCO MC K IT T R IC K - MORRISON C o n tr a c t Noy - 9088 Inyokern, C a lif .
MACINE ENG. & SUPPLY C O . 941 E . Second S t . Los A ngeles 12, C a l i f .
haddock e n g in e e r s , ltd
Box 479 Oceanside, Calif.
DATE1938
CARRIER UNKNOWN AT TH IS TIME
1938 .
1939
UNKNOWN AT T H IS TIME UNKNOWN AT TH IS TIME
1940 1941
UNKNOWN AT TH IS TIME
C A L IF . CASUALTY C O .IN D . EXCH. 417 S . H i l l S t . , L .A . ASSOCIATED IN D .C O . (FIREMAN'S 3223 W. 6 th S t . , L . A .
k` I
' UNKNOWN AT TH IS TIME
FUNP
1941
' UNKNOWN AT TH IS TIME
1943-44-451942-46
SELF INSURED
1945
UNKNOWN AT TH IS TIME
1945
UNKNOWN AT TH IS TIME
1945-46-471948-50
UNKNOWN AT T H IS TIME
1945
UNKNOWN AT THIS TIME
RE* L O L A 'Jo CR? DER - P ag e #2
LUHMAN BROTHERS
300 E- C o a s t Highway Newport B each, C a l i f .
UNITED CORK COMPANIES CORP Centr a l Ave.
Kearny, N. J .
INDUSTRIAL INSULATORS, Box 3388 Houston, Texas
IN C.
L 0 Ac FOSTER C 0 o 1519 N . Broadway S t . Louis 6, M iss.
THE P H IL IP CAREY M FG. C O . L o c h land C too :r . i . Ohio
JOUT HANVILLS S AL^S CORP u
22 E . 4 0 th S t . New Y o r k , N . Y .
KELLEY ASBESTOS PROD. CO.
2030 Grand A ve. Kansas C ity , M issou ri
RODERICK LYNCH
LYNCH ASBESTOS C O .
2152 Sacram en to S t .
Los A ngeles 21, C a l i f .
.
J,, T . THORPE, I N C . 948 E . Second S t . Los A n geles, C a lif .
1945
UNKNOWN AT TH IS TIME
1946 1955
1946-47 1948-50
1946
LIB ER TY MUTUAL I N S . ' 6006 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
UNKNOWN AT T H IS TIME
1946
f ^ 9 4 8 - 5 1 'j A 1 9 5 3 -5 4 '
1948
GENERAL ACCIDENT FIR E 3535 W. S i x t h S t . Los Ar^elcn Calif.
JILLVELEhS IN S a CO. 3600 W ils h ir o B lv d . Los A n geles, C a lif .
& LIFE ASS
Os ' \
S
UNKNOWN AT TH IS TIME
1948-49
UNKNOWN AT T H IS TIME
1948-49-50 1955-56-57 1958-59-60 1962
P A C IF IC EMPLOYERS GROUP
4050 W ils h ir e B lv d . Los A n geles, C a lif . AMERICAN MOTORISTS I N S . C O . 3545 W ils h ir e B lv d . Los A n geles, C a lif .
THORPE INSULATION C O . 2741 S . Y a te s A v e. Los A n geles, C a l i f .
METAL CLAD INSULATION C O ., Box 178 Torrance, C a lif.
INC .
Lo A . RUBBER & ASBESTOS WORKS
2915 E . W ashington B lv d . L o s Angeles, C a l i f .
J . T . THORPE & SON,
1351 Ocean A v e. E m eryville, C a lif .
IN C.
1948-50-51 1952-53-55 1956 1949-52
1949
1949
FIR EM A N 'S FUND - AMERICAN I N S . COS 3223 W. 6 th S t . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
UNKNOWN AT TH IS TIME
P A C IF IC EMPLOYERS GROUP 4050 W ilsh ire B lv d . Los Angeles, Calif.
R ^ LOLA J . CF ADER - P ag e #3
J A CARTER CC o 2521 Wt N in th Los A ngeles 6, C a l i f .
C . F c BRAUN & C O . 1000 S . Frem ont A v e. Alham bra, C a l i f .
CLARK B . REECE REECE INSULATING C 0 o 1603 S . M ain S t . L o s Angeles 1 5 , Calif.
HENRY J . KA ISER C O . 300 Lakeside D r . Kaiser Ctr. Oakland, Calif.
B & B ENGINEERING & SUPPLY P. O . Box 2531 Houston, Tex.
STANDARD ASBESTOS M FG. & INSULATING CO . 410 N . O liv e S t . Kansas City, Missouri
L a RMSTRONG CORK C O . Liberty & Charlotte Streets Lancaster, Pa.
OFCCO CONSTRUCTION CO,,, INC 2650 C h e rry A v e . Long B each, C a l i f .
DUTTON ASBESTOS & SUPPLY CO 532 Natoma S t . San F ra n c is c o , C a l i f . '
COAST INSULATING PROD, 2684 L a ce y S t . Los Angeles, Calif.
LOS ANGELES CORK C O . 4180 E . W ashington Los A n geles, C a li f .
TOTMAN MORGAN C O . 224 S . M ic h ig a n A v e . C hicago, 111.
PABCO INSULATION CORP 1790 Mnntnomery St. San Francisco, Calif.
1950
1950-51 1952 1950
UNKNOWN AT T H IS TIME
AMERICAN MOTORISTS IN S . C O . 3545 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT TH IS TIME
1950-51 1950 1950
INDUSTRIAL INDEMNITY CO, 505 S. Virgil Los Angeles, Calif.
UNKNOWN AT T H IS TIME
UNKNOWN AT TH IS TIME
1950-52-53 1955-56-60
1951
SELF-INSURED TRAVELERS IN S . CO . 3600 W ils h ir e B lv d . Los A n geles, C a lif . UNKNOWN AT T H IS TIME
1953
UNKNOWN AT TH IS TIME
1955-56-57 1958-61-62
' ' 1955-57
GUARANTEE I N S . C O . MANHATTAN - GUARANTEE I N S . C O . 1671 W ils h ir e B lv d . Los A n geles, C a lif . P A C IF IC EMPLOYERS GROUP 4050 W ils h ir e B lv d . Los A n geles, C a lif .
UNKNOWN AT TH IS TIME
1957
unknown at this time
1959-60-61 SELF INSURED
LOLA J . CRADER - Page #4
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JTUSE STEVENSON CO* ^2050 N . 15th A v e . M elrose P ark , 111.
PLANT ASBESTOS 0 0 . 1300 - 64th S t . E m ery v ille , C a lif .
LEE R . EKINS CO. 4933 V a lle y B lv d . Los A n geles, C a lif .
ARMSTRONG CONTRACTING & SUPPLY CORP. 120 N . Lime S t . Lancaster, Pa.
OWENS CORNING FIB ER G LA SS CO R P. P . 0 . Box 901 T o led o , Ohio
1960 1960-61 1960 1960-61-62
1960-62-63 1964
UNKNOWN AT THIS TIME
UNKNOWN AT TH IS TIME
STATE COMP. I N S . FUND P . 0 . Box 648 South Pasadena, C a lif TRAVELERS INS e CO. 3600 W ils h ir e B lv d . Los A n geles, C a lif .
AETNA C A S . & SURETY 2404 W ils h ir e B lv d . Los A n geles, C a l i f .