Document k6raxa7ejozLza0G82vJyJGbq

THE AMERICAN SURETY COM?ANT Of NEW TORE EMPLOYERS' LIABILITY ASSURANCE OORP, INSURERS-RESPONDlNTfi ft BRIDGEPORT,00hNECTIC OCTOBER^ ^ 1999 AOREailNT TO COMPROMISE PETITION TO COMPROMISE J&JL ORDER Y/HEREA8 on or about tho Slat day of Maroh,1939 and for a nuaber of year# prior tharoto, tho olalmant, Charloa Brooks, of Stratford, Conn# otl out, was an employe of tha Raybaatoa Coopany now RayboBtoa-Monhattan,Ine*# of Bridgeport, Connaotieut, and WHEREAS tha aaid aoploya and employer had aooaptad and war* at all time a heroin mentioned subject to Part B of the Vsrkass's Compensation Aot of tha 8tata of Connaotieut, aa amended, and tha employer had lnaurad It a liability tharaundar for various periods during which tho said claimant was mnployed with - Tha Ameriean iSurety Company of Raw York and fha Sqployars* Liability Assuranoe Corporation, both of whloh said oompenies exist and do business under the lawa of this Stats and are duly authorised to take auoh risks In th? - Stats, and WHEREAS tha claimant olalma that on or about tha Slat day ol _ Maroh, 1939 ho suffered an ooovpational disease, to wit) Asbestos] and further elaims that said oooupatlonal disease arose out of ant in tha oourss cf his employment with the employer) and further ole thatj said disease Is oompensabls) and further elalas that ha has jbeen disabled from all work sines March 31,1939) and further claims that he will be disabled la the future, all of which aaid elalas each and all of said respondents deny)~and-~~:j'*: -r-" * PLAINTIFF'S EXHIBIT WHEREAS the said Charles Brooks has a wifa, Clara, t&o la a potential dependant, and': W^; ' v j. V :4 * . \HMCft\0S WHEREAS It la tha desire of tho olalmant and the said raspondants to reaeh an saleable adluataa** -- - ALL-STATE LEGAL1 ; siaiaa'vo to* TOT A< 5'jid disputed claims to* rendered oertain. IjHXS IS TO CXBniT that X, tit* claimant Uti agreed too reoeive from t The iatrleu Bursty Oupuqr of lew York. #74.90 The ftaployera* Liability Assurance Cozp. #5.10 >* weiring a total sue of OM SQUBXD and Mo/100 Sollaraj and v* th* insurer respondents do agree too pay to th* claimant tha aua ao specified, to* witl / Th* Amerioan Surety Company of Saw Toxic #74.90 Th* Xnploy*.** Liability Assurance Oorp. #25.10 In full'eooord and aatlafaotlon of above disputed claims. AMD TO FURTU2R CSSTIIT that In oonaidsration of said rau ao paid,! X. tha olalaant, do hereby reals*, r*l*sa* and forever discharge the employer and all th* Insurer respondents from all j claims for oompanaatlon benefits whether for compensation' in any form payable to me under said A*t or for surgieal, nodical or ' f hospital benefits payable on my behalf and whether said claims hare already arisen or hereafter night aria* by reason of aforesaid claim for occupational disease. AMD TO FURTHER CERTIFY that I, Clara Brooke, wife of aforesaid claimant, Charles Brooks, do agree that in consideration of said sums so paid to remise, release and forever disoharge each and all the above named respondents from any end all olalma whloh I might hereafter *. we egeinst any end all of then by reason of the alleged incurring of an occupational disease by the said Charles Brooks while In the employ of the said employer-respondents. AND TO FURTHER CERTIFY that we, the claimant and tha respondente hereby submit the written agreement to the Compensation Commissioner of the fourth Congressional Dlstriot and respectfully ask that said agreement may ha approved with the fore* of si full I -end final award. :'S i v>. > i i In witness thereof we hereunto aet our handa the day and date first above written* WXTNXSSISt .a. gEfflLOJT'"'-------- :------------------------------------ gwami HAXBSSITOfcUWMPAirr now I KAXBEgTOtt-MANHATTAM,IhO TUB AMERIOAM BURJETX 00 Of MIT 10EK BX __________ JMPLQTEKS* LIABILITY ASSURAliOX COEP. Approved 2JLday of Ootobar,1939 &rp Condensation Commissioner fourth Congressional LIatriot* I !!* ) 1 51 i i Received OCT 24 1939 Compensation Cenimis$ion*r 1