Document gamq4xvqxM9g0yjr8wgxz1gB3

FILE NAME Mundet Cork MCK DATE 1955 DOC MCK109 DOCUMENT DESCRIPTION WC Claim of Campbell Pt 1 COMPENSATION AND SABILITY DEPARTMENT CHARLES J. KAUGH Second Vice President TheThe Travelers Insurance Company Travelers Indemnity The Travelers Company Indemnity Company Company The Travelers Travelers Fire Insurance kumpanykumpany 110 WILLIAM S. CARTER Assistant Secretary RIVINGJAMES SCHLESINGERAssistantSecretary Assaient " Artistent Secretary V. RAYMONDV. ALGER LLOYD W. DENISON Amicient Secretory PAIN E. BERGLUND Assistant Secretary CCT 12 1255 WITH CCT October 11 1955 ~ Armstrong Cork Company Lancaster Pennsylvania Attention Ms. Nabel E. Barnet Insurance Department Gentlemen Campbell Informal Conference = Asbestosis We wish to acknowledge receipt of your letter of with the attached photostat of Notice of Hearing on the subject matter for which we thank you October 5 to be held 1955 together November 7 1955 . Very truly yours PH : PK HK E. Tinti Assistant Underwriter EXHIBIT 504 | HOME OFFICE 700 MAIN STREET HARTFORD 15 CONNECTICUT "oF 12313 DuranDudrand H. 163-22-1101 163-22-1101 1613-2-1601 3-22-1101 Cancinil Edward 219-12-6012 219-12-6012 219-12-6012 .1950 .1950 Belimme TTT a ee a . ae Doe 1946 \ ' 1949| Boston ee - . 1952 New York _ $ wa 56-07-4919- 4.254 Richland Richland ee Edward W.D. 222-01-4925 19149477 m Phika at ESSRP ESSRP ESSRP records Po Vem wrte e lee B eae pe JP HACKER HACKER wee massent massent . * art Sn, . 3 eee : = ome 840 840 Lat Lat *** f WHITE A Vice Presidem oy Company Standard Accident Insurance INCORPORATED 104 CASUALTY CLAIM DEPARTMENT CONRAD A. RUSSELL CLAIN REPRESENTATIVE 94 STATE STREET SPRINGFIELD 3. MASS TELEPHONE 6-3693 | INSURANCE FIDELITY AND SURETY BONDS . October : October 4 1955 fr C Armstrong Cork Company Lancaster 7 Pennsylvania o~ Yo " Re Attention Edward Campbell - Employee Employment Department Gentlemen InIn Read 101 101 serious claim is being brought by one Edward Campbell who alleges that he contracted and is suffering from the disesse known as Asbestosis while in the employ of a number of con- cerns His case is soon to be heard before the First Congressional District of the Workmen's Compensation Commissioner at 54 Church Street Hartford Conn We list below the policy number and the period for which we covered your company POLICY NO PERIOD AZ 269553 AZ 269467 ' AZ 312485 AZ 335054 AZ 335055 AZ 444404 AZ 463900 Az 479088 AZ 537963 AZ 554776 AZ 567247 AZ 574904 Also . 1/1/31 - 1/1/32 1/1/32 > 1/1/33 1/1/33 - 1/1/34 1/1/34 - 1/1/35 1/1/34 - 1/1/35| 1/391/1/40 1/391/1/40 1/391/1/40 1/1/40 - 1/1/41 -1/1/41 - 1/1/42 1/1/42 - 1/1/43 1/1/43 - 1/1/44 1/1/44 - 1/1/45 1/1/45 - 1/1/46 It becomes necessary therefore for you to check your records to see whether or not Edward Campbell ever worked for you during the above periods If you find that he was an employee of yours employed during these where he was periods employed we should have the dates of his employment and whether or not you have any record of a employ report from him concerning contracting this disease while in your Will you kindly give this matter your immediate attention as we must have it by the time the hearing is called CAR y 01 .. .. ~ moe rw) rr er ee or Yours very trul , By e aw. meee October 5 1955 State of Connecticut Room 608 54 Church Street Hartford Connecticut Gentlemen Attention Mr. Leo J. Hoonen Compensation Commissioner Subject Edward Campbell Informal Conference - Asbestosis We acknowledge Notice of Hearing dated September 29 1955 advising that a bearing will be held in your office on 1 November 7 1955 at 10:30 A.M. Very truly yours ARMSTRONG COFK COMPANY Mabel E. Barnet Insurance Department October 5 1955 Travelers Insurance Company 700 Main Street Hartford 15 Connecticut , a Gentlemen Subject Edward Campbell Informal Conference - Asbestosis Us attach photostat of Notice of Hearing to be held November 7 1955 on the subject matter We have acknowledged receipt - of this notice ; Very truly yours : ARMSTRONG CORK COMPANY 3 Enclosure Mabel E. Barnet Insurance Department cc Alexander & Alexander 2221 H. Charles Street Baltimore 18 Md Inc. October 5 1955 Travelers Insurance Company 700 Main Street Hartford 15 Connecticut , A] Gentlemen Subject Edward Campbell Informal Conference - Asbestosis We attach photostat of Notice of Hearing to be held November 7 1955 on the subject matter We have acknowledged receipt . of this notice Very truly yours * ARMSTRONG CORK COMPANY B Enclosure Mabel E. Barnet Insurance Department cc Alexander & Alexander 2221 H. Charles Street Baltimore 18 Md Inc. October 4 1955 Mr. D. V. Barlow Standard Accident InsuranceCompany 470 Atlantic Avenue Boston 10 Massachusetts . Dear Sir Subject Suspense File 23904 Assured Armstrong Cork Company Injured Edward Campbell of Notice of Hearing to be held November We attach photostat We have acknowledged receipt 7 1955 on the subject matter of this notice Very truly yours ARMSTRONG CORK COMPANY Mabel E. Barnet _ Insurance Department B Enclosure cc Standard Accident InsuranceCo oot Detroit Michigan V. L. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22 Pa : ~ WORKMEN'WORSKMEN'S COMPERSAT ON COMMISSION OF CONNECTICUT NOTICE OF HEAKING Edward Campbell / Norman Zolot 2507 whitney Ave. Hamaen Conn Claimant Esq VS. 1919 - Scovill Manufacturing Co. P. 0. box 1820 waterbury 1922 - Insured Conn 1922 1 1927 1931 - 1932 Hobert A. Keasby 139 -149 W. 19th - no record St. New York Y. so hecord Hartford accident& Indemnity Hartford Accident & Indemnity 15 Lewis St. Hartford Conn Co. Co - bestchester ^ sbestos Co. ^ inite Plains ew York 1930 - 1931 io decora . Office of Compensation Commissioner First Congressional District 1931-1932 1931-1932 1931-1932 Armstrong Cork Co. Liberty and Charlotte St. , Lancaster Penna - standard Accident Insurance Co. al 1934 - " * " 1939 - 1945 - 1940 1941 - " " 1941 - 1942 m 1942 1943 = " " s " " " n fi Cy n * " fi 1943 - 1944 - " " 1944 1945 - " " " " " Md . 1945 - 1940 - 111 West Main St. Waterbury Conn . | Asbestos Distributors Corp. 113 cast washington Ave. Bridgeport Conn 7 j| 1934-1935 1934-1935 1934-1935 nsbestos vistributor" s TravTravelerselers InsurInsuranceance CCoo.. 1935-1936 J 1935-1936 canc.o ; 35- 35- - | 19361937-1935- 1937-1935- 19371937-1935- " Asbestos " " Portchester . Distributors Bridgeport Distributors Bridgeport Ct , 1 . " * " Ct 163 Asylum Hartford U.S.Fidelity & Guaranty Co. U.S.Fidelity " * fi s . 1938 - 1939 - " " " n " " i - 1939 - 1940 - " " canc.3 39 f- " " fi n 242 Trumbull St. Hartford # " | 1939 - 1940 111 E * Accident Fire a Life # # 1940 - 1941 111 - 1941 - 1942 E 560560 General 7 . 500 Whalley Ave. NewHaven 1943-1944 : Asuestos Portchester Htfo.Accident Co 1942 1943 vistributors Asuestos Portchester N.Y. Htfo.Acident " | 1943-1944 1943-1944 - " " " fi M " . 1944-19458- 1944-19458- 1944-19458194--19458- 15 Lewis Hartford liewersey unget Cork Company liewersey . Ho V101 Tonnelle Ave. Ho 1939 - 1940- netna Casualty and surety Co. Insulation Company 574 Oakwood Ave. West HartfoCrtd 1938-1939 1938-1939 1938-1939 - Liberty Mutual Insurance Co. canc.6 1 n - . . 63 East Center St. Manchester Ct 1940 - 1941 - Glens Falls Insurance Co. 141 Washington St. Hartford Ct 1941 - 1942 - New Amsterdam Casualty Co. 1942 - 1943 - 1943 - 1945 - 1944 - 194 - 1945 - 1944 - = 1946 1941 -* 1947 1948 ~- 1948 - 1949 - 1949 -- 1950 canc.6 - 153 Milk St. Boston Mass 1946 > 1941 - Aetna Casualty and Surety Co. " Casualty " Surety Co. 1947-1948 1947-1948 1947-1948 - 111 Pearl St. Hartford Conn 1950 - 1951 - Travelers Insurance Co. " Co. Travelers 1951 - 1958 - " 1952 - 1953 - _* . " . . 1953 - 195 - - 163 Asylum St. Hartford Ct - + Rhode Island Covering Co. 357 South Main St. Providence R.I. Employers 1943 = 1941 - 1944-1945 1944-1945 1944-1945 - Liability Assurance Corp. 132 Temple St. New Haven Conn 1944-1945 1944-1945 1944-1945 1945-1946 1945-1946 1945-1946 1946-1947 1946-1947 1946-1947 1947-194 1947-194 1947-194 1948-1949 1948-1949 canc.7 A. 63 - W. Bancroft West St. Reading Mass Royal Indemnity Co. Royal Indemnity Co. e @ w * * * * " . ft " fi 195 Church St. New Haven Ct 1949 - 1950 - Utica hutual 955 Asylum St. . Hartford Ct Homestead Insulation Co. ; 45 Granby St. Hartford Conn 1950 - Aetna Casualty and Surety Co. 111 Pearl st Hartford Conn Universal Insulation Co. 614 Schuykil Ave. Philadelphia Penna 1960 - 1981 - Employers Liability Assurance Corp. 132 Temple St. New Haven Conn J nns Fanville Corp. Accident Insurance Co. 23 cast Luth St. Pew 1922 1923 York Standaru Accident - - Insurance Insurance 1925 - 1920 - " H.Y. Co. 1920 - 1927 - 1 11 " . 111 est main St. Waterbury Conn Johns Manville Inc. of kass 1928 1927 - 1928 - Employers Liability assurance Corp. we 132 Temple St. new Haven Conn 1931 - 1932 - Johns Manville Corp. 22 Last 40th St. New York N.Y. - Standar accident Insurance Co. 19193323 - 1933 191934 34 - " " e " " a C3 111 West Main St. Waterbury Conn Johns Manville Corp. Nashua New Hampshire 1933 >> 1934- Standard ccident Insura Co. 111 west Main St. waterbury Conn 1934 - 1935 1936-1937 1936-1937 1936-1937 1937-1938 1937-1938 1937-1938 - Employers Liability Assu ance Corp. - Employers Liability Corp. " 17 - " fi 132 Temple St. New Haven Conn Johns Manville Corp. 1939 - 1940 - 1937-1938 1937-1938 1937-1938 - .1940 1941 - 1941 - 1942 - 1942-1943 1942-1943 1942-1943 - 1943 -- 1944 - Employers Employers " " bs " Liability Liability ft " * fi Assurance Assurance " " n * Corp. Corp. a s a . - ry Richmond Asbestos Inc. 1952 1950 - 1951 - Hartford Accident & Indemnity Co. 1951 - " 11 " fi Respondents You and each of you are hereby notified that the entitle matter will be heard with reference to the following questions the undersigned at his office Hoom 608 No. 54 Church Street Hartford Conn on the 7th day of November 1955 at 10:30 by A.M Re INFORMAL CONFERENCE - ASBESTOSIS Notice Issued September 29 1955 LEO J. NOONAN Acknowledge receipt of this notice at once Commissioner 1w Company Standard Accident Insurance INCORRATEN 1806 CASUALTY INSURANCE + FIDELITY AND SURETY BONDS IN REPLY REFER TO Casualty Claim DEPARTHENT DEPARTHENT Detroit 32 Armstrong Cork Company Lancaster Pennsylvania Attn Mr. R. C. Schiedt Jr. Insurance Departint August 10 1955 Gentlemen . AUG 15 1955 WILM Re Suspense Assured ClaiClmaiamanntt File 23904 Armstrong Cork Company Campbell Edward Campbell ' This will acknowledge your letter of August 4 1955 advising us that the hearing scheduled for August 16 1955 has been postponed until September 25 1955 As we did with the previous correspondence on this claim we have referred it to our Boston Office for their handling Yours very truly H. B.Jones ab CC V. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22 Penna Cle . 1 kagast 4p 1955 from bagust 16 to again postpones the hearing receipt from August 16 - ho September 1955. We have acknowledged 25_ 1955. Beptander Vory truly yours ARMSTRONG CORK COMPANY Insurance Insurance Schiedt Jr. Insurance Department _ Baltimore 503 Ete Baltimore Md Baltimore 4 de Insurance Hichigan gtendsrd Casualty Detroit Bemeaty a tsokh Gentlement Gentlement Bm # H. 5 mot Attentions Mr. Amstrong Campbell enclosed Subjects Atsurods Amstrong Cork Injureds Edvard gapjocts enclosed notice Edvard Meee hearing from August 16 tne ench? 25 29998 ve Goptere . truly yours , Very Department *% kugust 49 1955 54 State Connecticut 64, Hartford Street Hartford Hartford Connecticut Gentlement Attentions Mr. Leo J. Hoonen Compensation Commissioner Edvard Campbell Subjects of hearing 0&8 August August acknowledge receip1t95o5f your postponem,ent August 16 16 September 25 Very truly yours ARMSTRONG CORK COMPANY R. C. Schioit Jr. Insurance Department ADREMEN'S ATION COITSSION OF CONNECTICUT POSTPONEMENT OF HEARING Date when mailed August 1955 Edward Campbell Woodtick Road Waterbury Conn / Norman Zolot Isq 2607 Whitney Ave. Hamden Conn Claimant Se Johns Manville 22 East 40th St. New York New York korked for six years in Conn Robert A. Keasby 139 Rest 19th St. New York York worked about four years in Conn Armstrong Cork Consany Lancaster Fennsylvania horked on and off for three mostly in Conn years Homestead Insulation Co. 45 Granby St. Hartford Conn worked about a year around Conn Insulation Company 674 Oakwood Avenus Kest Hartford Connecticut worked about a year around Conn Scovill Manufacturing Co. P. O. Box 1820 Laterbury CONN Worked a couple of years on asbestos installation . Office of Compensation Commissioner First Congressional Distric : Loo. Respondents . ; ; Notice is hereby given that the hearing in the above entitled matter notice whereof has been previously given is hereby postponed until the 23rd day of September 1955 at Room 608 54 Church Street Hartford Connecticut at 10:00 A.M. :: f. 4 *... <7 VNC hs Commissioner 7 _ rp -e 1826 Standard Accident Insurance Company Accident 1064 CASUALTY INSURANCE FIDELITY AND SURETY BONDS IN REPLY REPLY REFETRO Casualty Claims DEPARTMENT Detroit 32 July 21 1955 Armstrong Cork Company Lancaster Pennsylvania Attn Mr. R. C. Schiedt Jr. Gentlemen Re 23904 Suspense File Assured Armstrong Cork Company Injured Edward Campbell of July 6 and July 11 on the above acknowledge your letters No. 23904. If you This will we have assigned Suspense matter to which Boston Office or this either our captioned with have occasion tmo actotrerresppolenadse use this suspense number office on this checked and we are unable to find any We have had our records carefully We are however referring record of any claim for Edward Campbell W. Barlow Manager of our _ attention of Mr. D. Boston 10 Avenue this matter to the at 470 Atlantic Office which is located in Hartford Conn Boston Massachusetts for their attention Matters arising come under their jurisdiction to check into this matter attend We are requesting our BostoAnugOufsftic1e6 1955 and report fully to us the hearing scheduled for Very truly yours CC V. L. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22 Pennsylvania CC Boston Mass Claim Department guy Ui 1955 $4 Hartford Church Gentlemans 3s Connecticut Attentions Gentierat Mr. Leo Leo Hoonen Compensation acknowledges Campbell 62 July 18 of hearing This receipt your postponement receipt This August Very truly yours ARMSTRONG CORK COMPANY COMPANY Insurance Department July 11 1955 Standard Accident Insurance Company Gantlement Subjects Edward Campball Our original letter dated July 6 1955 indicated a hearing would be hald July 16 1955 by the Workmen's Compensation Commission of Connecticut The enclosed notice postpones this hearing to August 16 1955. eiged receipt of the Commissioner's notice We acknowl- "+ Very truly yours ARMSTRONG CORE COMPANY - AR cot V. L. P. Shriver Agency 1601 Union Bank Building Pittsburgh 22 Paa R. C. Schiedt Jr. Insurance Department July 11 1955 Sravelers Insurance Comp Hartford Comecticut Gentlemens Subjects Edvard Crepbell letter Car originel dated July 6 1955 indicated a hearing would ba hald July 16 1955 by the Vorm's Compensation Commission of Connecticut The enclosed notice postpones this hearing to August 16 1955. edged receipt of the Commissioner's notice We acknowl- Very truly yours LENSTRONG CORK COMPANY AP - cet Alexander & Alexander Inc. 503 St. Paul Place Baltimore 2 Hide R. C. Schiedt Jr. Insurance Department HONDEN'S COMPENSATION CAMISION CAMISSION CAMISSION OF CONNECTICUT POSTPONEMENT OF HEARING Date when mailed July 7 1955 Edward Campbell koodtick Road Waterbury Conn o Horman Zolot ^sq 2607 khitney Ave. Hamden Conn Claimant Y8 Johns Manville _ 22 East 40th St. New York borked 40th for six years in New York Conn Robert A. Keasby ; 139 West 19th St. New York New York . Worked about four years in Conn Armstrong Cork Company Lancaster Fennsylvania Worked on and off for three mostly in Corm years Homestead Insulation Co. 45 Granby St. Worked about a Hartford Conn year around Conn Insulation Company 674 Oakwood Avenue West Hartford Conn Forked about a year around CONN Scovill Manufacturing Co. . P. O. Box 1820 waterbury Conn worked a couple of years on asbestos installation Office of Compensation Commissioner First Congressional District Respondents Notice is hereby given that the hearing in the above entitled matter notice where has been previously given is hereby postponed until the 16th day of August 1955 at Room 608 54 Church Street Hartford Connecticut 10:30 A.H. J. GREGORY LYNCH ACTING COMMISSIONER Acknowledge Receipt of This Notice at Once 2x Travelers Incarmos Company Hartford Connecticut Contlenent We are enclosing a notice received from the Compensation Commissioner of Connecticut in connection with a hoering July 18 1955 at Hartford Conn involving an Edvard Campbell Our records indicate ve bad en Ziverd Campbell pipe coverer employed intermittently during 1943 1944 1946 1949 and 1952. His social secur ity account numitar vas 407-07-0565 Payrolls for the years 1943 1944 end 1946 have been destroyed In 1947 our records indicate he was employed from July 20 to September 12 in Massachusetts During this period ha feiled to report several times for work due to sickness and employment was finally terminated September 12 due to sicknes3 Our 1952 records indicate we employed him in Connecticut steadily from Imua1r 4 y to Decmbe1r0 at which time his termination was die to no Since the date of injury is not give we are forwarding a copy of the hearing notice to Standard Accident Insurance Company in Detroit which carried our vozimon's compensation insurance prior to 1952 Will you please acknowledge receipt of this letter We have acknowledged to the Compensation Commissioner receipt of the notice of hearing ARMSTRONG CORK COMPANY R. Schiedt Jr. Insurance Department ect Alexander & Alexander 503 8t P alPlace Baltimore Maryl~-nd July 6 1955 Standard ccident Insurance Company Detroit Ilichigm i Geatlearns Subjects Edvard Campbell Ve are enclosing a notice received from the Compensation Commissioner of Connecticut in connection with a hearing July 18 1955 at Hartford Conn involving on Edvard Campbell Our records indicate va had an Edvard Cmpbell pipe coverer employed intermittently during 1943 1944 1945 1949 md 1952. His social secur ity account number was 457-07-0355 Payrolls for the years 1943 1944 md 1946 have been destroyed In 1949 our records indicate he was employed from July 20 to September 12 in Massachusetts During this period he felled to report several times for work due to alckness and exployment was finally tominated September 12 dize to nick2055 Our 1952 records indicate vs employed him in Connecticut steadily from January 14 to December 10 at which time his termination was due to no MONACO . Since the date of injury is not given we are forwarding a copy of the hearing notice to Travelers Insurmoe Company in Hartford which carried war workmen's compensation incarmee after 1951 . - Will you please acknowledge receipt of this letter We have acknowledged _ to the Compensation Commissioner receipt of the notice of hearing Very truly yours ARMSTRONG CORK COMPANI act V. L. P. Ehriver Azmay 1901 Union Bank Building Pittsburgh 22 Po Insurance Department Tm ee ee cee . : ONEENONET ENT OF HEARING ve eee Date when mailed July , 1955 Edward Campbell boodtick Load Waterbury Conn o Norman Lolot Esq 2607 Whitney Ave. Handen Conn JUL 1955 WLH Claimant VBe Johns Manville 22 East 40th St. New York awYork Worked for six years in Conn ; Robert A. Leasby 139 west 19th NEw York Kew York worked about four years in Conn Armstrong Cork Company Lancaster r nnsylvania borked on and off for three mostly in Conn years Homestead Insulation Co. 45 Granby St. Hartford Conn Korked about a year around Conn Insulation Company 674 Oakwood avenue kest Hartford Connecticut borked about a year around Conn we Scovill Manufacturing Co. | P. O. Box 1820 Laterbury Conne worked a couple of years on asbestos installation Respondents , Office of Compensation Commissioner First Congressional Distri . . " Notice is hereby given that the hearing in the above entitled matter notice whereof has been previously given is hereby postponed until the 18th day of July 1955 at Room 608 54 Church Street Hartford Connecticut at 10:00 A.M. LEO J. NOONAN Commissioner Acknowledge receipt of this notice at once . CF commmeCTICUE oclzaSsiC# , yorrica:'S CCuPESATION Edward yoostick Woodtick vYateroury Waterbury Waterbury /oLirs- vs of HEARING commissioner HEARGIonNgrGesstonet pistrict First a Lotz worked couple of years Conn. and New iD ALbanye Pennsylvania Company Hartford Lotz about years Conn Workedabout about years Armstrong Lancaster Company mostly jn conn. } Worked Worked off three years ( Distributors and Asbestos Asbestos Bridgeport WBraisdhgienpgorttonAvenue 1H1o3meWosrktedead fo Insulatuion rInsulation years in Conn Homestead Homestead COos Hartford Sabtoruteet 45 Worked Insulation about Company Company Insulation Insulation around around Conn ) york) ConCferoencn e n installation LEO following De entitled 1955 Informal of hereby notified You and of are notified the above- matter matter reference reference following following at undersigned undersigned office Room January 54 Street Street Hartford Hartford Conn on the 31st day January January 10:30 A.K. tne C C day C ceo, vy 5 Informal Asbestotis ameS, Asbestotis iv apove=- Noe 1955 re at 40:30 A be - 1954 Kindly Kindly acknowledge Commissioner Commissioner NOONAN _ Commissioner yrotice yindiy notice assued pece acknowledge at oncee 16; 1954 of receipt tnis 435 / Edward Campbel /" 804939 STATS STATE CONNECTICUT ICUT )) COUNTY COUNTY HARTFORD ICUT OFFICE OF COMPENSATION COMPENSATION FIRST COMMISSIONER Co. ETALS vs. Jonns-Manville RE; Edward Campbell of Manville is a ETALS ETALS certify that attached true s This is certify that the attached the the Notice Hearing Afand Barte A. PAUL Afand Commissioner 9/28/78 WORKMEN'S COMPENSATION COMPLISSION OF CONNECTICUT NOTICE OF HEAKING Edward \ 1 Campbell / Norman Zolot Kaq 2007 Whitney Ave. Hamden Conn . Claimant VS. . 1919-192 Scovill Manufacturing Co. 1919-192 . J. Box 1820 waterbury Conn No 1919-192 - Insured re Ale yuo e x$ - appearance 1930 - 1931 Kobert A. Keasby -149 W. 19th St. New York N. Y. - io Record - do hecord . : White - nartfora accident & Incemnity Co. -David White - Hartford Accident Indemnity Co. 15 Lewis St. Hartford Conn B. B. S. Pomeranz e ; Hestchester Asbestos Co. White Plains dew York No ^ scor^ Office of Compensation Commissione First Congressional Distr 1931 1933 1939 1940 1941942 2 1943 1944 1945 Armstrong Cork Co. Liberty and 1932 Standard - 1934 Standard 1935 1941 - 1962 ~- e Charlotte St. Lancaster Penna Accident Insurance Go, . Acident * * : . b fi fi : 8.7 2 a fi O'Brien - 1943 ~ " * - 194 - f " " . bed * Ex Seen D^C' al Aor - 1945 5 " " Ld - 1940 PO " " 111 west Main St. Waterbury Conn 193 193 - 1935 1935 - 1930 anc.o 29 Asbestos Distributors Corp. Conn 113 cast washington av bridenort bistributors ~ Asbestos Asbestos bistributors Porchester ... Travelers Travelers 17 1 " M SD e't e't Co. Insurance Insurance Co. " 1 1930 - 1973 1917 1935 1938 = 1938 1939 - 1964 anc.3 ~ Asbestos Asbestos " 11 " Distributorsturiage Distributorsturiage " " 11 , " " ore Ct Ct " M " 163 Asylum St. Hartfora U.S.Fidelity & Quaranty ' U.SFidelity wallsse Arild Quaranty " " a rR 1939 - 170 tt 1 - 1941 tt " 1941 - 1942 ~ t " 242 Trumbull st Hartfor * " " AcciGeneral dent Fire & Lir " 5. Pomeria * 560 = " Ave. 1942 - 1943 - Ascestos vistributors Indemnit 196 - 1944 + Ascestos vistributors 1948 1945 a] " 500 Whalley NewHaven Htfo.Acci David Portchester N.Y. White " * ComeraklCoemerakle 15 Lewis St. Hartford Mersey Sundet Cork Company 7101 T nnelle Ave. No. liew 1939 - 19401 Aetna Casualty and surety W. lil reari st Hartforu wonn Ton i : 11003366 Russull 1934 1937 - Insulation Company 674 Oakwood Ave. West Hartford Ct Liberty Mutual Insurance Hartford 19 canc.6 aw 63 East Center St. Manchester Ct 1940 - 1941 - Glens Falls Insurance Co. 141 Washington St. Hartford Ct Matthew 1941 - 1942 - New 1942 194 1943 194 . * 1944 ' 194 = * 1945 - 194 = * 1946 - 1941 - * 1947 - 194 - * 1948 - 194 = -* 1949 - 1958 - 8 canc.6 153 Amsterdam Amsterdam bd bed * s fi Milk St. Casualty Co. Casualty sd moc bd Ld *. nd . sd ad : * Ld . e t | er Boston Mass - | eee Downing 44ji Connors - 2 1946 - 1943 Aetna Casualty 196 197 4 Aetna Casualty 111 Pearl St. and Co. and Surety Co. Surety Hartford Conn Tom Rossell 1950 - 195 1951 ~ 195 1952 - 1951 1953 - 195 = Travelers . Travelers iJ Insurance Insurance v Co. Co. s Asylum fi * 163 Asylum St. Hartford Edward D. O'Brien 500 Ct 1943 1944-1945 1944-1945 1944-1945 Rhode Island Co. Covering 357 South Main St. Providence R.I. 1941 - Employers Liability Liability - Assurance Corp. 1944-1945 - Employers Liability 132 Temple St. New Haven Conn Hebert O'keefe Esa > - 1945 1945 - 1945 1946 - 1947 A. W. Bancroft - Deceased Reading 63 West St. Mass Indemnity Co. Royal 7 Indemnity Co. 8 2 v 1947 1948 * * * 1948 1949 bed 45 ad " canc.7 -7 " ad 195 Church St. New Haven Ct 1949 - 1950 - Utica Hutual 955 Kaylum St. Hartford Ct Hebert Hebert O KeetKeeete 1950 Homestead Insulation Co. 45 Granby St. Hartford Conn - Aetna Casualty and Surety Co. 111 Pearl St. Hartford Conn Thomas Russell Esa Universal Insulation Co. 614 Schuykil Ave. Philadelphia 1960 - 19511951 - Employers Liability Assurance Corp. 132 Temple St. New Haven Conn 1037 H. O'Kefe O'Keefe O'Keefe 4 192193 23 - 1925 = 1920 1926 - 1927 - Standard " " 111 est ccident Insurance Oe ccident Insurance fi fi Main St. Waterbury Conn ED 6'Brien Assurance Johns Manville Inc. of hass 1927 - 1928 Employers Liability Corp. 132 Temple St. New Haven Conn O'keefe H. O'keefe O'keefe Corp. Johns Manville 22 Last 40th St. New York 1931 - 1932 - Standara Accident Insurance Co. " E.D.6.Brien " e id 19- 32 1933 - 1934 - 111 West Main St. Waterbury Conn Johns Manville Corp. Nashua New Hampshire 1933 - 1934 - Standard Accident Insurance Co. 111 west Main St. waterbury Conn E.D.0.87in E.D.0.87in E.D.0.87in , 1934-1935 1934-1935 1934-1935 1937 1938 1936 1936 1937 - - Employers Employers - fi - Liability Liability * Assurance Assurance . Corp. Corp. fi 132 Temple St. New Haven Conn * 6. Keefe Johns Manville Corp. Employers 22 East 40th St. New York N. Y. 1939 = 1940 - Liability Assurance Corp. = 193 ' 17 938 - . Liability As urance . 1940 1942 2 5 . " ba ba 1942 1943 @ s fi fi s 1943 1941 - O'Keefe O'Keefe - r Richmond Asbestos Co. Inc. .951 - 1952 & Hartford Accident Indemnity Co E.S Ponerand Respondents entitl You and each of you are hereby notified that the will be heard with reference to the following questions matter Room 608 No. 54 Church Street the undersigned at his office the 7th day of November 1955 at 10:30 Hartford Conn on by A.M Re INFORMAL CONFERENCE BESTOS Notice Issued September 29 1955 .. LEO J. NOONAN Commissioner _L _ ee set EDWARD L. CAMPBELL of Waterbury Connecticut CORAM T3~e SCOVILL MANUFACTURING CO of Waterbury Connecticut insured et al EMPLOYER RESPONDENT : RESPONDENT WORKMEN'S COMPENSATIO COMMISSIONER HON A. PAUL BERTE STATE OF CONNECTICUT FIRST DISTRICT August 21 1978 THIS IS TO CERTIFY that the attached AWARD BY STIPULATION approved December 20 1955 is a true copy of the original on file in this office in this matter Workmen's Compensation Commissioner First District cee eee nee eee Tere EDWARD L. CAMPBELL of Waterbury Cona CLAIMANT vs. SCOVILL MANUFACTURING CO of Waterbury Conn insured Employer ROBERT A KEASBY of New York New York Employer HARTFORD ACCIDENT : INDEMNITY CO of Hartford Conn Insurer ASBESTOS DISTRIBUTORS CORP of Bridgeport Conn ~ Employer UNITED STATES FIDELITY GUARANTY CO of Hartford Conn Insurer GENERAL ACCIDENT FIRE & LIFE ASSURANCE CORP LTD of Hartford Conn . Insurer HARTFORD ACCIDEN&T INDEMNITY CO of Hartford Conn Insurer INSULATION COMPANY of West Hartford Coun Employer ; LIBERTY MUTUAL INSURANCE CO of Manchester Conn | Insurer GLENS FALLS INSURANCE CO of Hartford Cona Insurer NEW AMSTERDAM CASUALTY CO of Boston Mass Insurer AETNA CASUA & L SUT RETY Y CO of Hartford Conn Insurer TRAVELERS INSURANCE CO of Hartford Conn Insurer MANVILLE CORP of New York New York Employer EMPLOYERS LIABILITY ASSURANCE CORP of New Haven Conn Insurer CORAM COMPENSATION COMMISSIONER FIRST SECOND THIRD FOURTH AND FIFTH CONGRESSIONAL DISTRICTS . Hon Leo J. Noonan 1st District acting DEC 20 DEC 20 1955 DECEMBER + 1955 1010 ARMSTRONG CORK CO of Lancaster Penna .. Employer STANDARD ACCIDENT INSURANCE CO of Waterbury Conn Insurer RHODE ISLAND COVERING CO of Providence R. L. Employer EMPLOYERS LIABILITY ASSUR- ANCE CORF of New Haven Conn Insurer A. W. BANCROFT of Reading Mass Employer ROYAL INDEMNITY CO of New Haven Cona Insurer UTICA MUTUAL INSURANCE CO Hartford of Hartford Coas Insurer HOMESTEAD INSULATION CO of Hartford Conn Employer K AETNA CASUALTY SURETY CO of Hartford Conn Insurer CO RICHMOND ASBESTOS , of Maspeth L. L. Y. : Employer HARTFORD ACCIDENT & INDEMNITY CO of Hartford Conn INC Insurer RESPONDENTS RESPONDENTS .; APPEARANCES The claimant was 2607 Whitney Avenue Hamden represented by Norman Zolot Esq Conn the respondents by their various representatives AWARD BY STIPULATION to and Upon the within and foregoing Agreement being this day submitted examined by the Undersigned I find the same is | settlement of a disputed claim and a just and reasonable confirmed ought in all respects to be ratified and WHEREUPON IT IS ORDERED ADJUDGED AND AWARDED that compliance with this Agreement shall constitute a full final and settlement accord and satisfaction of any and all claims of complete herein against the respondents or the claimant is hereby ratified any them by virtue of the premises and 67% virtue 67 67 COMPENSATION COMPENSATION COMPENSATION COMMISSIONER te re rem neers AGREEMENT OF ADJUSTMENT AND STIPULATION FOR AWARD contract of employment was in force between hereinafter referred to as the claimant and Edward L. Campbel August 1953 and prior thereto the Insulation Company on or about | employers set out in the claimant had worked for the various caption hereof Manufacturing sation Act Aalnld otfhethese parties were subject to the provisions of the Compen- employers herein had complied therewith by insuring their compensation liability with the insurers set out in the Scovill Company which was caption herec^> except a duly qualified insured at the time in question Pursuant to due and regular notice the above entitled assigned for a bearing before the Compensation Commissioner case was Congressional District acting also for the for the First Third Fourth and Fifth Commissioners for the Second 1955 on which date Districts who were duly disqualified on November 7 a conference was held between the attorney for the claim- At this conference it was the claimant's contention that he had worked for many years for the various employers set out in the that as a result of his caption hereof employment he contracted an occupational disease to wit asbest siathat he became disabled therefrom on or about 1953 and has remained disabled to the August 19 present date is still disabled and will continue to be disabled for an indefinite time in the future that he has considerable expense for medical and hospital treatment that he has incurred rendered totally and permanently incapacitated and that he will requibreeefnurthe medical treatment and hospital care in the future Alleging that he had sustained an occupational disease that of and in the course of his employment the claimant sought compensatairoonsefoourt disability past present and future both total and partial compensation for a permanent condition and payment of all the reasonable medical surgical hospital sanatorium sad incidental bil incurred and to be incurred in connection . with the treatment of his condition connection The respondents however denied that the claimant had sustained any occupational disease that arose out of and in the course of his employment with the employers herein Each employer maintained that the claimant's employment with it was not a substantial factor in causing or aggravating the claimant's condition The respondents set forth that the claimant was unable to establish any dates as to his employment with the various and that he could never maintain his burden of employers herein proof as to when and where he worked and for whom The respondents further contended that the claimant had filed written claim for compensation within the period of one from the date of his first manifestations of year symptoms of his occupational disease and that therefore the claim was outlawed by reason of the statute of limit- ations Many of the employers further maintained that the claimaut had never filed a claim for compensation within a period of five years after leaving theiz employment and that the claim was further outlawed for that additional reason The respondents further denied the extent of the claimant's disability as alleged Each respondent denied that its employment had caused or produced thereof any permanent condition but if so denied the extent However in view of the number of technical legal and medical questions that were involved and in view of the other doubts in the case as 1012 outlined by the claims of the parties hereto it is stood by and between the claimant the hereby agreed and under- parties to the employers and insurers herein all controversy that while their respective claims good faith the claim is a disputed one and that its are made in would be doubtful results if fully prosecutad~fi that WHEREFORE it is agreed by and between the the respondents shall pay to the claimant the parties hereto Dollars the same to be in sum of Six Thousand 6000 full final and complete settlement adjustment accord and satisfaction of all claims which the aforesaid claimant otherwise have against the respondents or any of them and to be mmiagdhet and accepted in lieu of all other compensation payments in accordance with the language of our Act It is hereby agreed and understood that said settlement of Thousand 6000 Dollars shall be divided and Six herein as follows to wit apportioned among the respondents Scovill Manufacturing Co. insured Hartford Accident & Indemnity Co. for Robert A. Asbestos Distributoarnsd Richmond Distributors Kezaby ; United States Fidelity & Guaranty Co. for Asbestos DistributorS General Accident Fire & Life Assurance Corp. Ltd. for Asbestos Distributors Liberty Mutual Insurance Co. for Insulation Company Glens Falls Insurance Co. for Insulation Company New Amsterdam Casualty Co. for Insulation Company Aetna Casualty & Surety Co. for Insulation Company and Homestead Insulation Co. Travelers Insurance Co. for Insulation Company Employers Liability Assurance Corp. for JohnsManville Corp. and Rhode Island Covering Co. Standard Accident Insurance Co. for Armstrong Cork Co. Royal Indemnity Co. for A. W. Bancroft Utica Mutual Insurance Co. for A. W. Bancroft 600.00 600.00 250.00 250.00 250.00 250.00 250.00 250.00 250.00 250.00 250.00 250.00 250.00 600.00 600.00 600.00 600.00 ; 800.00 800.00 850.00 850.00 800.00 800.00 250.00 6000.00 6000.00 The payment of said sum of Six Thousand 6000 Dollars shall be made and accepted as a full and final settlement for all compensation for sald occupational disease and for all results upon the claimant past present and future and for all claims for past present and future medical surgical hospital sanatorium and incidental expenses and all compensation which may pay- be due to anyone in case of the death of the claimant to the end that the ment of such sum shall constitute a complete satisfaction of all claims due or to become due at any time in favor of anybody on account of the claimed occupational disease or on account of any condition in any way resulting out the said condition or on account of the death of the claimant on account of said condition of Six claim them It is expressly understood and agreed that the payment of said sum Thousand 6000 Dollars is in full accord and satisfaction of a disputed and is not an admission of any liability by the respondents or any of It is further stipulated and agreed that before the claimant signed this stipulation he read it or the same was read and interpreted to him in a language that he understands and he knows that it is a full and final settle- ment and that it is intended to deal with any and all conditions known or unknown which exist as of the date hereof or any changes of conditions which may arise in the future on account of said occupational disease It is further agreed by and between the parties that this stipulation was not induced or entered into by fraud accident mistake or duress and that none of the parties hereafter shall have any further claims under the Workmen's Compensation Act of the State of Connecticut & IN VIEW OF THE FOREGOING We the undersigned hereby unite in requesting that the Compensation Commissioner for the First Congressiona District also acting for the Second Third Fourth and Fifth Districts maka an Award by Stipulation pursuant to this Agreement IN WITNESS WHEREOF 14th day of December 1955 We have hereunto set our hands and seals WITNESSES Edward Edward & Campbell SCOVILL MANUFACTURING CO respondent insured By pea, St, Its representative handy handy handy is hereunto duly authorizedi ROBERT A. KEASBY respondent HARTFORD ACCIDENT & INDEMNITY CO Insurer respondent ASBESTOS DISTRIBUTORS CORP respondent UNITED STATES FIDELITY & GUARANTY respondent Patik By cia Their representative hereunto duly authorise a -respondent ASBESTOS DISTRIBUTORS CORP. AASSBBEESSTOTSOS LiF Employer ACCIDENT FIRE & DISTRIBUTORS DDISTRIIBUTORS STRIBUTORS Employer By hereuato ly Insurer -- ---- respondent OF? Their -- ---- coRF. Their representative & duly authori ASBESTOS DISTRIBUTORS DISTRIBUTORS Employer Employer BY areunto duly 4 By --fl----, | Their representative INSULATION representativCe OMPANY CO. ; INSULATION COMPANY Employer respondent Gore Nown Nown representative representative INSULATION COMPANY co. Employer respondent COMPANY respondent hereunto duly BY Tepresentanive INSULATION hereunto COMPANY INSULATION COMPANY COMPANY co. Employer respondent Insurer AMSTERDAM er Their .. INSULATION hereunto : , . INSULATION COMPANY& SURETY CO. AETNA respondent Insurer respondent CASUALTY INSULATION COMPANY respondent Employer INSURANCE Oe TRAVELERS respondent CO- aes duly authoriz BuULnor represernetparteisveentartievepresentative 4045 MANVILLE CORP respondent EMPLOYERS LIABILITY ASSURANCE CC Insurer respondent th By Okay Their representative f Ce. hereunto duly authori authori ARMSTRONG CORK CO Employer respondent STANDARD INSURANCE CO Insurer respondent respondent By resentative \ hereunto duly authorij RHODE ISLAND COVERING CO respondent EMPLOYERS LIABILITY ASSURANCE CO Insurer respondent By Ok Their representative 10/1 10/1 10/1 hereunto duly authoriz A. W. BANCROFT respondent ROYAL INDEMNITY CO respondent spr^'s^~ tativeA k 6121 6121 By 6121 Their spr^'s^~ tativehereunto duly authoriz A. W. BANCROFT Employer respondant UTICA MUTUAL INSURANCE CO Insurer respondent By F.B. Haggett Their representa Afseunto duly authoriz authoriz HOMESTEAD INSULATION CO respondent AETNA CASUALTY & SURETY CO respondent By Hay 2 man wh Their representative hereunto duly authoriz authoriz RICHMOND ASBESTOS CO INC respondent HARTFORD ACCIDENT & INDEMNITY CO respondent By Their representative hereunto duly authoriz / WOMANEN CONPENJATION CONPENJATION COMISSION COMISSION OF CONNECTICUT NOTICE OF HEARING Edward 2007 Campbell / Norman Zolot whitney kve Hamden Conn Claimant esq vy scovill Manufacturing Co. V. box 1820 waterbury 1923 - Insured Conn 377 # Kobert n B39 -189 Reasby W. 19th St. 1922 Mo Kacord New York Y. 1927 11993333 - do record narttori Accident 1 Inuamnity - Hartford Accident a luuemnity 15 Lawis St. Hartford Conn Co. Co. Co. bestchester bestchester Aboustos Co. phite Plains new fork 1931 - no decora Uffice of Compensation Commissio First Congressional vi Armstrong Cork Co. Liourty and 1932 1934 stanuara " 1933 1941 - 11 n 1962 ~ 11 Charlotte St. Lancaster Accident Insurance Co. -- M ... " M " , " t " nr " " a Penna 1943 - " " " 1464 = 1945 1945 - " " M 1940 a " t " 1 111 West Main St. wateroury Conn ~ Asuestos Distributors Corp. Vistributors .l 113 cast mashington Ave. 1934 - 19351 - Asbestos priuzesort Travelers Travelers Insurance 1 1930 - 193 j 11 " It " " 17 canc.o 35 - 1930 19 ; 1958 ' 1937 > 1730 e - 1939 ALUES1 TOS It " ut Distributors ut t " M " ++ " 10 maylum St. Hart - U.J.Fidelity & Quara U.J.Fidelity " ' " 11 " t 1939 - ive 19 M canc.3 39 oe 17 u H 11 242 Trumbull H^r 1959 1941 = = - - . 1969 1941 = = 1941 - 1944 - . Generalaciuent = " Generalacciuent a rire It " 500 = " 11 It buu whalley NewHa 1962 - 198 198 - vistributors Asuastos 11 rotchester 1 1944 - Htfa.nccidentinue M Htfa.ncidentinue H 15 Lewis Jt karti 1934 | Fundet vork bumpany bumpany 101 Tonnelle Ave. no New New Sergen versey toed] - xelia Capualty and suruty w $ ill rearl St. Hartforu vonn . 1012 a Insulation Company 1674 Oakwood Ave. West Hartford Ct . 1937 - 1938 - Liberty Mutual Insurance Co. ie 1938 - 1939 < fi " " 1939 - 1940 - 1 8 canc.6 " 1 ad fi * 63 East Center St. Manchester Ct 1940 - 194 - Glens Falla Insurance Co. 141 Washington St. Hartford Ct { 1941 1942 1942 - 194 New Amsterdam Casualty Co " " Casualty 17 1943 - 1944 - -- R 1944 - 1941 e t " Rr " " 1945 - 1944 - fi -- 1946 n 1947 = fi " J * " 1947 ~ 1948 - , fi St. 7 1949 - 1950 - * R > canc.6 153 Milk St. Boston Mass 1946 - 1947 1947 - 1948 , - Aetna Casualty and Surety Co. - Aetna Casualty --fl Surety R 111 Pearl St. Hartford Conn 1950 - 195 ~ Travelers Insurance Go. 1952 1951 - Travelers " 1952 - 1958 - " " " # . 1953 = 1954 - " - 163 Asylum St. Hartford Ct Rhode Island Covering Co. 357 South Main St. Providence R.I. 1943-1944 1943-1944 1943-1944 - Employers 1945 1944 - Employers @ Liability Assurance Liability " Corp. Corp. 132 Temple St. New Haven Conn A. W. Sancroft 63 West St. Reading Mass 1944 1945 1966 1947 - 1945 - 194b - 1948 1948 - Royal Indemnity Co. . Royal Indemnity " " = " = " fi " " " 1948 - 1949 = 11 IT " canc.7 = 195 Church St. New Haven Ct 1949 - 1950 Utica butual 955 Asylum St. Hartford Ct 1950 Homestead Insulation Co. 45 Granby St. Hartford Conn Aetna Casualty and Surety Co. 111 Pearl St. Hartford Conn Universal Insulation Co. 614 bcnuykil Ave. Philadelphia Penna 1950 - 1951 = Employers Liability Assurance Corp. 132 Temple St. New haven Conn 1920 1920 1927 Yer wee wee enue ee avin cheese Y= Standard " Accident Accident Insurance 19 co, ... |1927 ae a - If 19 111 est main st waterbury Conn Johns rianville Inc. of h^55 Em ployers Liability assurance Corp. 132 Temple St. new haven conn 1931 1932 Johns Manville Corp. 22 Last Luth St. New York u.f - Standara Accidrent Insurnance t"o " 1933 - 11 " Main 111 est Main St. waterbury Conn - Johns Manville Corp. Nashua New Hampshire > Standard Accident InsurancInsuerance Co. lll west main st Materoury vonn 1934 1930 1937 - 1938 - Employers Liability Liability St r 132 Temple St. New assurance as urance Corp. Corp. " Haven Conn 1939 1937 1940 1942 1943 1940 19381941 1942 1943 1944 Johns Manville Corp. York 22 East 40th St. New York II - Employers Liability Assurance aza 1 Y. Corp. Corp. It 1950 1951 Richmond Asbestos Co. Inc. 54-18 43rd St. Maspeth L.I. N.Y. - Hartford n Accident & ne Indemnity Indemnity Co Respondents You and each of you are hereby notified that the above matter will be heard with reference to the following questions the undersigned at his office koom 008 No. 54 Church Street Hartford Conn on the 7th day of November 1955 at 10:30 Re INFORMAL CONFERENCE CONFERENCE - BELTUS BELTUS Notice Issued September 29 1955 LEO J. NOONAN Commissione Acknowledge receipt of this notice at once iw 1043 -Claimant S won eee |}. Edward Campbel HtInital Claim Johns Manville Armstrong ArmstronAgrmstrong Cork Cork k_ Mundet Mundet Sock --: State __Connecticut __Connecticut Date 9/29/55 ae . af : | we ~ : - ewe nee -- _- ~ _ ee oem me oe ee ee Wi Hak ew eT TN ee te ew awe HE EM eee POSTPONEMENT OF HEARING 7 : Date when mailed July 1955 JUL Edward Campbell Woodtlak Road Waterbury Conn / Horman Lolot Esq 2607 Whitney Ave. Hamden Conn 1955 WLH 4 Claimant Te Johns Manvilis 22 East 40th St. New York New York worked for six years in C^nn Robert A. Keasby Worked abous four years in Conn Armstrong Cork Company Lancaster Pennsylvania Worked on and off for three mostly in Conn years Homestead Insulation Co. 45 Granby St. Hartford Conn worked about a year around Conn Insulation Company 674 Oakwood Avenue seat Hartford Connecticus worked about a year around Conn Seovill Manufacturing Co. P. Q. Haz 1820 Waterbury Conn Worked a couple of years on asbestos installation Bespondants Office of Compensation Commissione First Congressional Dist Notice is hereby given that the hearing in the above entitled matter notice whereof has been previously given is hereby postponed until the 18th day of July 1955 at Room 608 54 Chure _ Street Hartford Connecticut at 10100 A.X. LEO J. NOONAN Commissioner Commissioner Acknowledge receipt of this notice at once iw ~s WORKZTEN'S COMPENSATION COMMISSION OF CONITECNICHT HOTICE OF RING Edward Campbell Woodtick koed Waterbury Connecticut o Kre Read Office of Compensation Commissioner First reusional District VS. Johns Manville 22 Kast 40th Street New York New York Worked for six years in Cona Robert A. Keasby 139 West 19th Street New York 11 New York Worked about four years in Conn Keasby & Madison 225 Broadway New York New York worked a couple of years in Conn and in wibaby New York Asbestos Company Hartford Conn Worked about three years in Coan Armstrong Cork Company Lancaster Pennsylvania Worked on and off for three years mostly in Conn Asbestos Distributors 113 East Washington Avenue Bridgeport Conn Worked four or five years in Comn Homestead Insulation 45 Granby Street Hartford Conn Worked about a year Co. around Conn Insulation Company 674 Oakwood Avenue West Hartford Conn Worked about a year around Conn} Scovill Kanufacturing Co. 2.0 Box 1820 Waterbury 21 Conn Worked a couple of years on asbestos installation You and each of you are hereby notified that the above- entitled matter will be heard with reference to the following Questions by the undersigned at his office Room 508 No. 54 Church Street Hartford Conn on the 31st day of January 1955 ; at 10:30 A.M. Ia re Informal Conference - Asbestosis Notice Kindly notice issued Dec. acknowledge at once l^ 1954 receipt of this LEO J. NOONAN Commissioner Commissioner 1002 C The The T Th hee Travelers Travelers Travelers Travelers Travelers CHABLES & MANOR termed Ya Pred impang LLOYD W. ODSON AS Sears PAUL PAUL UNO UNO A Sears ee SoD Vist October 11 1955 Armstrong Cork Company Lancaster Pennsylvania Attantion Vs. Mabel A. Barnet Insurance Department Gentlazan Edward Campbell Informal Conference = Asbestosis We wish to acknowledge receipt of your letter of with the attached photostat of Notice of Hearing on the subject matter for which we thank you October 5 to be held 1955 together November 7 1955 - yours RET: PX Very truly N Tinti Assistant Underwriter HOME OFFICE 700 MAIN STREET MARTFORD 15. CONNECTICUT Sree ne ee er eee Of th town Of Of Of Of * PLATTS Orendgne FS ABOW ABOW mae Bowe 6 tearetery . JACKER JACKER JACKER move HER JACKER 4 t tener t50 Premeens > ~ hi 5 haa PAUL WILSON dee Om eeent A WARNICA ME F ' LATHON me Meeeces and Camera Counte t NA NA Counte WHIT ewewE ene Company Standard Accident Insurance ****** ****** LD -- CLAIM DEPARTMENT DEPARTMENT & Ome STATE STREET SeuauerervE SPRINGFIELD SPRINGFIELD 6 a CASUALTY INSURANCE . FIDELITY AND SURETY Octocer BONOS 4 1955 Armstrong Cork Company Lancaster ra Fennsylvania fi, some} 20. Re Attention Edward Campbell - Employee Employment Department Gentlemen In Reid 10 A serious claim is being brought by one Edward Cambell who alleges th he contracted and is suffering from the diseste ( known as Asbestosis while in the employ employ of a number of con- cerns His case is soon to be heard before the First Congress- ional District of the Workmen's Compensation Com issioner at ^' 54 Church Street Hartford and the period for which we Conn We list below the covered your company policy number POLICY NC AZ 269553 AZ 2694-7 AZ 312485 AZ 335054 AZ 335055 AZ 444404 AZ 463900 AZ 479028 AZ 537963 AZ 554776 AZ 507247 AZ 574904 Also FRIOD FRIOD 1/1/31 1/1/22 1/1/35 1/1/34 1/2/34 1 1/39 1/1/60 1/1/41 1/1/42 1/1/63 2/1/44 2/1/44 1/2/45 - 1/1/32 - 1/1/33 - 1/1/34 - 1/1/35 = 1/1/35 - 1/1/60 - 1/1/41 ' 1/1/42 1/1/43 - 1/1/46 1/1/45 - 1/1/46 NUCL NUCL It becomes necessary therefore for you to check your records to see whether or not Edward Cabell ever worked for you during the above periods If you find that he was an employee of yours during these where he was periods employed we should have and whether or the not dates of you have his any employment employment record of a report from ain concerning contracting this diserse while in your en 107 Will must you kindly have it by CAR Planet Insurance Company Ostart give this matter your tamedlate attention as we the time the herring is called 10KI Yours very K CR K ae EV Standard Accident Insurance Company Detroit . tuC Pilar insurance Company winnie winnie 12313 levard levard H. Campanil Flom Plant 3/89/89 Campanil i 163-76-1101 _ a - Campbell # 2224 Edes Asam Fall 3/1/44 Campbell 8/12/44 194-14-72 194-14-72 194-14-72 3/1/44 Cae, Sw Edurand Ar Eoale burning burnig line am 1950 Beltin ~s Edward Edward 487-07-487-0 56054876-07-6056 487-07-0566 Edwa M.rd '52 -07-4912 1943 7.4 1974 City 8 1946 - 1949 = Baton Baton 1952 Year Yout 1952 Alaska 1984 Richland Richland hund W.D. 411-01-491c 411-01-491c _ _ 1947 Prila 7, 1948 wt : at at at records ps , oA Jalan Jalan Jalan Jalan Jalan : records records to " 1053 1053 October 5 1955 State of Comestim Roca 608 54 Church Street Hartford Connecticut Gentlemens Gentlemens Attention Attention Hr Les J. Yoonan compensation Commissioner Subjects Edvard Campbell Informal Conference Conference - Asbestosis Notice We acknowledge of dated September 29 1955 Rearing advising that a hearing will be held in your office on Very truly yours AIMSTRONG CONE COMPANY COMPANY Insurance Department 1050 October 5 1955 Travelers Insuran Company 700 Main Street Hartford 15 Connectiout , Gentlemen Gentlemen Subjects Edvard Campbell Informal Conference - Asbestosis Ve attach photostat of Notice of Hearing to be held Hovember 7, 1955 am the subject matter We have saknowledged receipt ef this notice Yezy truly yours . ARMSTRONG COME COMPANY a Enclosure Nabel E. Barnet Insurance Department Department 001 Alexander & Alexander Ins, 2221 I. Charles Street nes October 4 1955 Kr D. Y. Barlow Standard Accident Insurans 470 Atlantis Av Boston 10 Massachusetts Dear Sir Subject Subject Suspense Pils 23904 Assired ^ rmstrongCork Company Edvard Campbell Yo attach photostat of Notice of Rearing to be held lomber 7 1955 on the abject matter We have acknowledged rescipt ef this noties , Tezy truly yours AFMSTRONG CORK COMPANY Naval I. Barnet Insurancabepartment 2 Inclemre 00 Standard Accident InsuranceGo Detroit Michigan T. L. P. Muriver izmDAY 1801 Union Bank Building Pittsburgh 22 & wrdich ts COed pia Pout COMPENDATION CUmalva lod OF COMPENDATION COMISSION Coda CTICUT wiward Campbell, c/o Norman CaLnonleost, Campbell Norman 307 Edward Norman '94- VSe \ hous 1919 1919 i Cae VS. O. covill Manufacturing Manufacturing Co. ~ - Dox Gonne Hobert ae neasdy daw fork, Ne Ye h jy Hobert A. Keasby Keasby 1924 1922 P3 -149 ' 192A 1927 1922 naco Se & incemnity 1925 1925 1920 nartfora necord accident Indemnity Co. 2925 1932 nartfora accident lucemnity 1931 1931 1931 Hartford Accident 1932 Hartford i 1930 1930 - Ascustos Cae westchester Ascustos Ascustos White westchester - 1931 Plains office of Commissioner Office yistr Compensation Office 1931 1931 1933 1933 1939 1939 1940 1940 1941 1941 1942 1942 Co. Armstrong Cork Liberty and Charlotte 1932 Stangara CharAccidlent otte Stangara 1934 1934 8 1935 1935 0 bd 1940 ti) nw 1941 " 1941 " 1962 " St. bancaster,PeAnde Lancaster Lancaster Insurance Co " " " ad a " " fi " Mt " " 1943 1943 1943 1944 1944 1944 1944 1945 1945 1945 e ~ 1945 - - 8 rt wt 111 west " " main st a n " fr wonne waterbury 113 AscAessbetsotoss DwiassthriinbguttoonrsAveC. o, rp.priu enortConn Travelers Insurance tee Conn 113 " Portchester - - Asbestos Distributors " canc.o 1930 Asylum 35 " canc.o " 0/29/354- 163 Asylasylua um Insurance " daref ore Hartfore Hartfore . 1930 U.S.Fidelity U.S.Fidelity Guaranty Histributors Asbestos priage - = t U.S.Fidelity " ' 1958 1738 " fi n t" n 1939 - 196k " fi canc.3 / 39 nw " 1909 os = 19419 - 11 . - . ' 19411941 tt wt 1 Lid Trumbull Trumbull vtHartfLoirf:e * GenralAcident GeneralAccident Hartford Hartford " w 500 dewhaven whalley whalley Newhaven - 1942 1942 - Hofa.ncciuent Hofa.ncciuent 1943 Mistributors 1944 - - " tt 1944 11994455 * : ba] Indemnit 1 w a Lewis St. Hartfora Hartfora . LIF LPH Versey Versey Lonnelle Lonnelle ave burety Versey netn^/ Casualty anu woe rearl ut Hartford vonn . | dil raarh ~Ge> fartforG, gyera = eo Insulation Company 674 Oakwood Ave. West Hartford 1937 - 1934 - Liberty Mutual Insurance Co. canc.6 ~ * * 63 East Center St. . Manchester Ct 1940 - 1942 - Glens Falls Insurance Co. 141 Washington St. Hartford Ct 1941 1942 1943 1944 1945 1946 1947 1948 1949 > 1948 - 1942 - 1944 - 1941 = 1944 - 1941 1941 1949 - 1950 Casualty - New Amsterdam New Amsterdam Casualty = Co. " id * + =* " "fi fi * * " " - * = * = v = * - fi ad fi fi t fi " * fd " " - - Surety Co. 1946 - 1947 + 194 1947 8 Aetna Casualty and Surety Casualty and 111 Pearl St. Hartford Conn 1950 - 1951 'Travelers Insurance Co. Travelers 1951 1952 - Insurance * 1952 - 195 " b,d 1953 - 195 = * . " - 163 Asylum St. Hartford Ct Covering Rhode Island 357 South Main St. Co. Providence R.I. 1943 - 1945 - Employers Employers 1944 - 1945 ~ Liability Assurance Liability Assurance Corp. Corp. 132 Temple St. New Haven Conn 1944 - 1945 1945 - 1945 1946 - 1949 1947 - 1948 1948 1940 canc.7 63 West St. Heading Mass Royal - @ eo" * Indemnity we " Indemnity fi 0 ad = * " = " " = fi " 195 Church St. New Haven Ct 1949 - 19 . - Utica Kutual 955 Asylum St. Hartford Ct 1950 Homestead Insulation Co. 45 Granby St. Hartford Conn - Aetna Casualty and Surety Co. 111 Pearl st Hartford Conn Universal Insulation Co. 614 Scnuykil Ave. Philadelphia Penna 1960 - 191 eo Employers Liability Assurance Corp. 132 Temple St. New Haven Conn eRe EEE eo Ree eee eee ee oe oo . ve ee 1922 1925 1920 1927 1931 1932 1933 1933 1934 1936 1937 1939 1937-1938 1940 1941 1942 -1943 East MOL 40thI St. corp 22 East 40th St. New York NY Standard 1923 . 1920 - . accident Insurance " " 1927 - fn " 111 mest main st materoury 1928 Johns Manville Inc. of hass - Employers Liability assurance 132 Temple St. new naven Co 1932 1933 1934 1934 Johns Manville Corp. 22 Last 40th St. New York u - Standaro accid"ent Insurbdance \ - West " 111 West Main St. waterbury Johns Manville Corp. Nashua - Standard accident Insurance Insurance ( 111 west nain St. waterbury Assurance 1935 1935 Employers Liability Assurance 1937 1938 1938 132 Temple St. New Haven Cc 1940 1937-1938 1941 1942 1943 1944 Johns Manville Corp. 22 East 40th St. New York i Employers Liability Assurance 1950 1951 Richmond Asbestos Co. Inc. 1951 - Hartford eg Accide nt & Indemnity 1952 Respondents You and each of you are he matter will be heard with refer the undersigned at his office Hartford Conn on the 7th d Re INFORMAL CONFERENCE - BES Notice Issued September 29 19 lw en al daace DO FERAT 36 Laem te on . eA MIR 113 Arctidunt Accident Standard Company Insurance Insurance - eee A T IN REALLY RESER TO Casualty Claim CASUALIT INSURANCE FIDELITY AND SURETY BONOS DEPARTMENT Detroit 32 Armstrong Cork Company Lancaster Pennsylvania Attn Mr. R. C. Schiedt Jr. Insurance Departmnt August 10 1955 Gentlemen : AUG 1955 Wun Re: Suspense Assured Claimant File 23904 Armstrong Cork Company Edward Campbell This will acknowledge bearing scheduled for 1955 your letter of August 4 August 16 1955 has been 1955 , advising us that the postponed until September 25 As we did with the previous correspondence on this claim we have referred it to our Boston Office for their handling Yours very truly H. B.Jones B.Jones ab CC V. L. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22 Penna Planer insurance Company Detroit . Standard Accident Insurance Company Unit Pilat Insurance Company foranta Yo ae i ar 4 4 1955 Zartfer15d, Gamnsctian 19525 5 1. 955. Yehave adrem esizt eo f txts d artion Very Waly yours, COCN ONE COE MP NIE magnehty 1955 108 ingesdtg 1955 State of Street axt 56 Street 3 dann auk Gentlemans attentions Subjects Mara Cenpbell itr. Les 7, Hecum, CampensCeam tsi elcounn er This vill saknovlaige reealyt ef your peotpenanen of hearing on dngast 14 te Septanber 25, 19545. Very truly ywETS ARATCH ORKOCONMPEGTI R, 3. 88 88 Ttagurenes Depertnert Viper Date when mailed August 1.1955 And woodtick Road Waterbury Conn e/o Whitney Whitney Ave 2607 Whitney Ave Hamden Conn Gaimaens Tae dohns Maavilie 22 Sast bOth St., Mew York, New York (worked for eix yeers in Conn.) Robert Ao 1b 139 that 1b st u b Conn York Worked about four years in Conn Armstrong Cork Company Lancaster Pennsylvania worked on and off for three mostly in Cann years Homestead Insulation Co. 45 Granby St. Hartford Conn borked about a year around Conn Insulation Company 674 Oakwood Avenus beat Hartford Connecticut worked about a year around Conn vill Manufacturing Co. Werked a couple of years 08 asvestos years Offiee ef Compensation Commissioner First Congressional Distr Respondents Netice is hereby gives that the hearing in the above entitled Batter, notice hereef has been previously given is hereby postponed until the 23rd day of September 1955 at Room 608 54 Church Street Hartford Connectiont at 10:00 A.M. A , - Commizsaicner ; Acknowledge receipt of this notes x@-ence. , aw # JR Cher of ee beary . At.x At.x &. a4 Cite, Meegene : > , ^' n { Standard Accident Insurance Company Insurance 1080 GAGNALTY INSURANCE FIDELITY AND SURETY BONOS sr MAY ESER TO Casualty Clates Armstrong Cork Company Lancaster Pennsylvania July 21 1953 "ss Attn Mr. C. Schiedt Jr. Gentlemen Re Suspense Pile 23904 Assured Armstrong Cork Company Injured Edvard Campbell This vill acknowledge your letters of July 6 and July 11 on the above captni etto er n to e whid ch we have assigned Suspense No. 23904. If you have occasion to correspond with either our Boston Office or this office on this matter please use this suspense number We have had our records carefully checked and ve are able to find any record of any clain for Edvard Campbell We are however referring this matt toetr he attention of Mr. D. W. Barlow Manager of our Boston Office which is located at 470 Atlantis Avenue Boston 10 Massachusetts for their attention Matters arising in Hartford Conn come under their jurisdiction Ye are requesting our Boston Office to check into this satter attend the bearing schedfourlAue gud st 16 1955 and rep fulo ly r to t us Tery truly yours I. B. Jonn^' CC V. P. Shriver Agency 1801 Union Bank Building Pittsburgh 22 Pennsylvania CC Boston Mass Claim Department itanat insurance Campeny Detroit . Standare Accident Insurance Company Daimit . Pilot Insurancs Company furanto 44 \ 804972 July 11 1955 Jonnoef cJotnniecotinonss 54 GQurwh Street Rart 3,f Geo mesr tiod ns GentLenens dMtentions Compensation Compensation J. Focum, CommissCommi issioo ner Cn ommie ssior ner Babjects Biward Cenptel. Fais scknovledges reecizt of your postpumat e hearing ou July 18 te Jug1u 6 s 19t 55 Very traly yours, 43GOT M R Ci K t id? R. C. SeaiodtJr,. tasaraee 1065 804978 804978 duly 2, 1953 Detroit and TascreGnupcaney Detroit and gas Gentlanens Sabjects Dhvard Canpeali July original letter dated July 6, 1955 indtented hearing 1955 by dated Vermnen's Compensation Commisaton af would be held Connerti art 16 1955 The maleset notice postpones this hearing to ingurt etged reeaigt of the Cumrsclener's notion 1955 Ve seknexin Tesy truly yours, CONP COMA E COR NPARY Y CONPARY RB. G. katt Jr. Ingurmes Departnet as? out 1880 80497 duly 11, 1955 Prerelers Tusarance Company Rartford, Comectiast GentLenens Subjeats Wivord Sanpeals JOuulryor1i8gi1na9l55letbtyerthedatVeezdimen's 1955 Ompmantion Commission Connectiurbe Conectiurbe Connectiurbe Ompmantion Commission of Connectiurbe TeaiegelmerleaesseidptsoaftitsuepCecowemeinese suiloe nbaeenertziicnsg,tosmaguat 16, 19550 Ve atkneui- Very truly yours, ME OK M MEM R. 6. SemtedttJ,r Tagurenes Depaerwast POSTPONEMENT OF HEARING Date when sailed July 7, 198% Campbell WaterbWauterrbuyry, ConnConn Waterbury Woodtisk Mernen Ave. 2607 Whitney Ave. Hamden Conn Caiaanrs VBe Jeohas Maavilie worked for for six years in Conn Office of Compensation Commissioner First Congressional District Robert A. Leasby 139 West 19th St. New York New York herked about four years in Conn Armstrong Cork Company Lancaster Pennsylvania Worok n ane d od ff for three years may a Homestead Insulation Co. 45 Granby St. Hartford Coan Worked about a year around Com Company Insulation worked worked year around cont Conn. worked about a year around cont 11 Manufacturing Co (werked a couple of o2 asdestos instaliatioa)~ Respondents Entice is hereby given that the hearing in the absve entitled satter, metice whereef has been previously given, is hereby postponed until the bth day ef August, 1955 at Reena 608, Se Crurch Street, Martford, Connecticut Connecticut at 10:30 AM J. GREGORY LYNCH ACTING COMMISSIONER COMMISSIONER Aexnowledgs Receipt ef This Yotiss at Cace 1071 da6l , 1y 955 ee Be are meladas 6 wrtdee reesived fren the Conpensetion Commi scioner of meladas meladas meladas vith o hearing July 1%, 1995 ot Hartrord, Comm. igve a l D^'v vnrdi Camn pbeg ll, U19 196,913 993 i 1955 Gemisaiener of in amacrtion vith a heeriag July 18, 1955 ab Lartferd, Clie, a inden wetbs ad m 1946 1949 duri 194S_ 1944 1946 mabey "Els loyed loyed 1949 andand stlastelhoe yed in wa 1044 ad mit entmly 1944 1949 stlas hetwweaa period ittently fee wrk @ thisperiod be 22 ne & finaltlayminated stlaste sets my tin me whieh time j!f HE L. 1973 1973 1973 1973 WORKLE'S COMPENSATION COMMISSION OF CONNECTICUT POSTPONEMENT OF REARING ie Date when mailed Jyly 3.1955, JUL Edward Campbell Weedtick Read Waterbury Cas Weedtick Xerman Whitney Ave. 2607 Whitney Ave. Eumden, Ceas 1955 WLH 0 Shadnans Vio. debms Manvilic 22 East 400m S60, Kew York, Jew York (Worked for six years ia Cena.) Robe A. r Keat sby Ifv Meat 19 York Kew York 139Meat Haus four years in Conn Armstrong Armstrong Cork Company Pennsylvania brked on ani for three years apetly in Com. Office of pensation Coentissioner First Congressional Distr aS Worked about year Coan. Worked about a year around Comm Inmiation Company 67% Cakweed Aveaue ^ esHartford Connecticut (Werzed abeet a year areund , Cenne) Seevili Manufacturing Co. Rex Waterkry Pe Oo Rex 1420 a eo Waterkry Coan Waterkry on asbestos install Respondants Hotice 1s hereby gives that the heering 1a the above eatitiod matter netice whereof has been previously given is bereby : postponed until the lfth day ef duly, 1955 at Boom 608, 5h Church Street Hartford Connections at 10:00 A.X. LEO d. NOONAN : Hissioner knowledge receipt of this notice at en wo ows WORKEEN'S COMPENSATION COLAISSION OF CONNECTICUT MONIOD OF HARING Edward Campbell Woodtick Road Waterbury Connecticut o Mrs. Read Office of Compensation Commissioner First CongressionalCongressional District TS Johns Manville 22 East 40th Street New York New York Worked for six years in Com Robert A. Keasby 139 West 19th Street New York 11 New York Worked about four years la Conn Keasby & Madison 225 Broadway New York New York worked a couple of years in Conn : and in albany New York Lotz Asbestos Company Hartford Conn Worked about three years in Conn Armstrong Cork Company Lancaster Pennsylvania Worked on and off for three years mostly in Conn Asbestos Distributors . 113 East Washington Avenue Bridgeport Conn Worked four or five years in Conn Homestead Insulation 45 Granby Street Hartford Conn Worked scout a year Co. around Coan Insulation Company 674 Oakwood Avenue West Hartford Conn Worked about a year around Conn Scovill Manufacturing Co. 2.0 Box 1820 Waterbury vl Conn Worked a couple of years on asbestos installation You and each of you are hereby notified that the aboveentitled matter will be heard with reference to the following Church questions by the undersigned at his office Room 608 No. 54 Street Hartford Conn on the S1st day of January 1955 : at 10:30 A.M. Ia re Informal Conference - Asbestosis Notice Kindly notice issued Dec. acknowledge at once 16 1954 receipt of this LEO J. NOONAN Commissioner Commissioner 1:75