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FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1962 DOC#: IWC004 DOCUMENT DESCRIPTION: Claimant - Wyss, John .v*,0 * *' F'< I, 'JI-<if<J I - **'*'**Pr*'t*t.**i*ti* ..} '.-Hr 'iiA-fc ^ tA"-J STATE OF CALIFORNIA IN D U ST R IA L A C C ID E N T COM M ISSION APPLICATION FILE SIGNED ORIGINAL AND SIX COPIES (PHASE PRiKT OR TYPE KAKES AfjD ADDRESSES) CASE Dapsdnwrt of Wiutrul Ed*' aiwc*d Wostfid Affidarti FILED JA N 1] 1962 Oakland Office N O . > ^ A ^ 7422 JO H N m s _______ __ ___________ __ _ _ _ _ _ APPLI**-- 507 C a p p ..5 .tr e t AAPPPPLLII CCAA*N T I A D O R E S ! San Franciacor (^lifornia. vs. Mundet Cork Co. and many others Social Security No............5 5 .8 ."9 .1 " 3 5 9 .2 - . 440 San B rannan S tr e e t I N P L O T tt 'S ADDRESS Pranciscoj Callfornla Aetna Casualty Surety Co. IN PLO VIR'S DISVIARCI C A R U S I 220 San Montg o m e ry S t r e e t IM SURARCC CA R i l l * % A D D I CSS Francisco, California_______ 1. JOHN WYSS HAMS OP SNPLOTER aiai.aabeatoa.yorker-.. OCCUPATION AT TIM I OP IRJIISY Mundet Cork Cru ....... R A R ! OP IN P LO TIR , , alleges that while employed on...........H .Y ... _4.9.A--...... 1 9 _.9 i\ A T I OP ISTN A T I OP INJURY __ at________________. v a r l o u a - p l a f t e a ...... ......................................... C1TT, TOWN OR PLACE WHERE INJURY OCCURRED California, by , ___he sustained injury arising out of and in the course of the employment, as follows: Expoaure.-to ..duat-and- . o . v a r - m a n y . p a r a .................. ......................... ............. resulting in P L A IN MOV INJURY A S R C C IIV I cheat. disability.-.. f T A T I WHAT P ARTS OP ROOT W i t I J H J U R E O AMO S U S C O U E H T R E SU LTS 2. __________ A e t n a C a s u a l t y & S u r e t y C o . ................................................................... N A N I OP IR 9 U R A M C t C O N P A N Y O R . IP I N P L O T I R WAS MOT I N J U R S # , T A T I H I T H E R S I L P I N S U R I O O S U N IR tU R K D was the employer's insurance carrier o 3. N o v e m b e r 1 0 . 1 9 6 l ..t .Q ...E E J 5 . t i t ___________________________ PIRIO O R OTP V O R K D U ( TO T H I INJURY _____ ______________ -- .......... 0ATI IMJUR10 RKTURRID TO YO RK - ....................- ................................ D ATI LAST NCOICAL P U R R IS H IO 4. Was compensation paid?--------- D O . T i l 01 NO TOTAL PAI K EILT RATI D A T I OF LAST PAYMENT J, Earnings at time of injury | ________ JS fiX ________ @ ..........................._ ................... ... The basis of pay was.................................................... sortii . rii i t a t i r i i m i a o 0 h o u il t i a t i , q u i i a dat a r o Oats a w m 6. V a s medicai treatment needed?--......y & S ..... T U d i io Who furnished treatment?. aeXf IV I N A N I f OP OCTORS WHO T 1 K A T I0 T M I IMJURY AND I T A T I H O PAID THEIR SILLS a.a This application is filed to determine liability for: ' a. Temporary d isab ility....yfia b. Permanent disability_____ y S c . Medical treatment . . .y & S d. Medical costs. T i l 0 RC T i l HO T i l 1 HO e. Litigation expense......... ............ f . ---------------------------------------------- T I A OH HO S T A T I ART OTM KI REASON 59 Q A K .JL 3 4 5 LIST C A SI R UN BER S OP ANT OTMCR APPLICATIONS PILEO W H E R E F O R E , it is requested that t time end place be fixed for bearing and that an award be made granting such relief as may be roper under the W orkmen's Compensation Laws of California. - - Dated at.________________________ California, ... J a n u a r y . . . i a #_.JL962 CITY / \ / I DATE bearing requested at---dumber of witnesae*___ Utimated time of trial-- O a k la n d ' ^ r7 ^ ' i o -- ................... A - A ^ applicant *Nature 1J\ , ......... ..UTH^..itABRI^>jmUCK:. fc-QIANCY . APPLICAR T S ATTORNEY 1l^ Financial Center Building Oakland 12, California 1tI1f SA.l/k g&rding the various listed enrployers Coen Ccnpony - No Record. Mundet Cork Corp. - No record prior to Aetna Casualty & Surety Co., " " " " " " " 12 -51-39 Policy lC-110500, 12-31-39/44 Policy 1C-10000, 12-31-40/45 Policy C-20200, 12-31-45/46" Policy 1-C32100, 12-31-46/47 Policy 1-C44800, 1 2 -3 1 -47/48 Policy 1-C440OO, 12-31-4S/49 Policy 1-C70600, 12-31-49/50 Policy 1-C6720, 12-31-52/53 Policy 1-C23413, 12-31-60/CI Plant Rubber & Asbestos Works - No Record. R. W. Gildings Supply Co. - No Record. Bay Cities Asbestos Co., Ltd. - No Record. Western Asbestos Co. State Compensation Ins. Fund, Policy 93224. 1937 through 10$ Standard Asbestos Co. - No Record. Warren 4 Bailey Co. - No Record. f. Thorpe it Son, Inc. Pacific Employerb Ins. Co., Policy C-59-386, 9-30-38/39 " Policy C-TCT81, IO-I-39A 0 Industrial Indemnity Co., Policy CC-100021, 1-1-56/57 Plant Asbestos Company - No record prior to IO-I-3 9 . Pacific Employers Ins. Co., Policy C-70782, 10-1-39/1+0 " Policy C-71790, 10 -l-lf0A l " Policy C-769^5 , 1-1-W49 " Policy WCC-51378, I-1 A 9/50 Industrial Indemnity Co., Policy CP-IOO654, I-I-56/57 " Policy CP-608056, I-I-59/6O Fish-Dee-Lish Corp. - No Record. E. B. Badger & Sons Co. - No Record. Harry A. Dutton, Jr., Dutton Asbestos Co. - No.Record. Van Arsdale Harris Lumber Co., Inc. - No Record. Richmond Shipbuilding Corp. - No Record. Western Precipitation - No Record. . Permanent Metals Corp. - No Record. G. R. Dutton & C. A. Leighton, et al, Western Fiberglass Supply Ltd. - No Record. Frecac-Lorentzen Co. - No Record. Asbestos Supply Co. of Seattle - No Record. Racona Asbestos Co., Charles R. Brower & E. E. Saberhogen - No Record. Motel Clad Iaculr.tion Co., Inc. - No Record. Jarsr & OlEan Co. - No Record. Chas. B._ Brower & Co., E. E. S&berbsgea L - feo Record. libs E. J . B&rtells Co. \ > . ; ` \.- Hsrdrare Mutual Casualty Co., Policy 21+650^, 10-1-52/53 Charles Ayers Co. - So Record. v1 '* *' ** `" " - Fiberglass Engineering L Supply Co. of tbs Sortbveet, Inc..- Not California. Northwest Cork. & Asbestos, Inc. - No Record. Armstrong Cork Co. Travelers Insurance " " Co., Policy RUB-3386210. Policy KTO-Ugo^'. :( i /JB-6A I-I-5J+/5 1-1- S ' A I - j - `W .1 _lluu, Li.j.-.A'jinlii V_1 X Coast Insulating Products (A Corp.) Argonaut Insurance Co., Policy 86736, 5-1-55/56 " Policy 95792, 5-1-56/57 Pacific Employers Ins. Co., Policy WC-I5163, 5-1-57/58 Insulation & Asbestos Industry Works or North California Vacation Trust Fund Local No. 16 - No Record. Mnldoon Company Industrial Indemnity Co., Policy CG-50300^, 7-1-56/57 Owens Corning Fiberglass Corp. Aetna Casualty 4 Surety Co.,Policy31-0-822, 9-1-56/57 " Policy 31-C-879, 9-1-57/58 " Policy 31-C-926, 9-1-58/59 Wm. Thomas Tuck - No Record. Dan Caw Industrial Indemnity Co., Policy CN-208831, +-21-57/58 " Policy CN-216623, +-21-58/59 Thos. C. Douglass, Jr., Douglass Insulation Co. U.S.Fidelity & Guaranty Co., Policy CPJ-IO65, 6-19-57/58 'Armstrong Contracting 4 Supply Co. Travelers Insurance Co., Policy RUB-7226992, I-I-58/59 II Policy RUB-7768159, 1-1-59/60 Harold G. Lorentzen, Lorentzen Co. Industrial Indemnity Co., Policy CC-60005^, 1-1-59/60 Argonaut Insurance Co., Policy 53565 I-I-60/61 . " Policy 6687?i '1-1-61/62 j 1 WORKMEN'S COMPENSATION APPEALS BOARD 2 STATE OF CALIFORNIA . 3 4 OHN WYSS, 5 Applicant 6 vs 7 [UNDET CORK COMPANY, and AETNA 1ASUALTY & SURETY COMPANY, et al 8 9 Defendants CASE NO. 62 OAK 7^22 OPINION . and ORDER (Approving Compromise and /Release) FILM 10 11 12 Reconsideration was granted herein "ana rue turned to 13 ,he calendar for further hearing on the issue of prefer parties 14 lefendant. A hearing was held and thereafter the parties filed a 15 iroposed settlement agreement providing for a lump sum payment to 16 ipplicant in the sum of $6,500.00, less attorneys' fees and costs, 17 ind further providing that applicant shall assume unpaid and future 18 ledical and hospital expense. We find, from the record and the 19 settlement agreement, that no part of the proposed settlement sum 20 Ls attributable,to temporary disability indemnity. 21 It* is the opinion of the Workmen's Compensation Appeals Board 22 that the Compromise and Release Agreement is adequate and in the 23 Dest interests of the parties and therefore should be approved. 24 Applicant's attorneys have rendered services herein of .the 25 reasonable value of $650.00 and have advanced litigation costs in 26 the sum of $47.00 on behalf of applicant. 27 For the foregoing reasons, 28 IT IS ORDERED that the Compromise and Release Agreement filed 29 herein on March 8, 1966, be, and the same hereby is, APPROVED, 30 payable in the manner and by the named parties as follows: :M 3 : t 1 vrv 2 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 jh 2: fc Mr c&: 30 (a) To applicant* John Wyss, by Aetna Casualty & Surety Company* the sum of_$2*499*55j less the sum of $697.00 payable to Smith* Parrish* Paduck 8c Clancy for attorneys1fees and costs........... (b) To applicant* John Wyss* by the- following: State Compensation Insurance Fund.... ...... Plant Rubber & Asbestos Works* a corporation, Pacific Employers Insurance Company........ Industrial Indemnity Company............... Argonaut Insurance Company................. Fireman's Fund Insurance Company....... . Travelers Insurance Company................ Ocean Accident & Guarantee Corp.* Ltd...... United States Fidelity 8c Guaranty Company... Employers Mutual Liability Insurance Company of Wisconsin............................. $2*499*55 .1*429.34 ...790.09 ___1 5 8 .0 1 ___215.48 ___581.80 ___129.29 ___603.34 .... 43.10 ... 2 5 .0 0 ... 2 5 .0 0 TOTAL $6*500.00 WORKMEN'S COMPENSATION APPEALS BOARD >RM 33 2 9-3 9 2 !>' i l l . WORKMEN'S COMPENSATION APPEALS BOARD STATE OF CALIFORNIA . JOHN WYSS, / / Applicant / vs / mttoDET/CORK COMPANY, and AETNA S m T sro m co m pany, al Defendants CASE NO. 62 OAK 1 ^2 2 O PI N I O N and l-l 14 Reconsideration was granted herein and the case re urned^to i ndar for further hearing on the issue of prope ^ ^ A-hearing was held and thereafter the parties filed a d6fen ^ settlement agreement providing for a lump sum payment to proposed settleme S 0++ornevs fees and costs, .. nn+ m the sum of $6 ,500.00, less attorney 1is attributable to temporary disability xndemnitir It is the opinion of the -- n's Conpensatxon ^ . that the Compromise and Release Agreement is adequate and in th ,that the comp +Vl,,refore should he approved. Itest interests of the parties and therefore s Applicant's attorneys have rendered services herexn , reasonable value of $650.00 and have advanced litigation cos, the sum of $47-00 on tehalf of applicant. | Bor the foregoing reasons, Agreement filed TM IS ORDERED that the Compromise and Belease Ag ,, R iq66 he and the same hereby is, APPROVED, |herein on March 8, 1966, m llow s- Ipayable in the manner and by the named parties as follows. IA C FOHU 339 CW .ii-iv.'.'-----* li - 1- * r ^ 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 ?422 C&F 30 (a) To applicant, John Wyss, by Aetna Casualty & _ Surety Company, the sum of.$2 ,499^^j less the sum of $697-00 payable to Smith, Parrish, Paduck & Clancy for attorneys' fees and costs.............. . l q q .^ j ?? (b) To applicant, John Wyss, by the following. . State Compensation Insurance Fund............... 1,429-34 Plant Rubber & Asbestos Works, a corporation...... 790.09 . Pacific Employers Insurance Company............... 158,01 Industrial Indemnity Company...... *.............. 215-48 Argonaut Insurance Company........................ 581.80 Fireman's Fund Insurance Company............ Travelers Insurance Company................ . -.603.34 Ocean Accident & Guarantee Corp., Ltd.............. 43-10 United States Fidelity & Guaranty Company.......... 25-00 Employers Mutual Liability Insurance Company of Wisconsin............................. . .25.00 TOTAL $6,500.00 WORKMEN'S COMPENSATION APPEALS BOARD 1 irm 33S 2 ) 2 i* * O . (corvicvi-vi -- -------------------- tfV\^ V-3^ S' S _____________-------- ------ 1- _.C(cuW Al <*K cie f --- C o r. (si. P f a n "V-..-R 1*-k>>*`~_ xviCL- ftsesP-i >v\.sir >1 ___ C 9 X S_-- --------- _ 0 v i o CTq r_n . ^ 5 ------ ~ o tz ----.-- -- CZa /1 'J3*------- CU-A.. ___ .IllcC -i- 'nfi,,.trir.|A'ci<m *C >,"mission {^r C E 1 I V E D JAN 1 0 19c'- O a k la n d O ffic e STATE OF CALIFORNIA IN D U ST R IA L A C C ID E N T COM M ISSION APPLICATION file sig n ed o r ig in a l a n d six copies (PLEASE PRIXT OR TYPE KANES AND ADDRESSES) CASE PF>rtMrt of UiwtriW lUUlxMt Ttkmm irf hrfrr^'r1Aradr<* FILED J A N 11 1962 Oakland Offic _ N O . > ^ ^ ^ v v z z " JOHN WYSS_______________ a p p lic a n t -- 507 Capp Str e e t ....... ... APPLICANT % ADONIS San Francisco, California vs. Mundet Cork Co. and many others IM PLO T! Aetna Casualty 3s Surety C o . IM P L O T II S INSURANCE CA N N ICI Social Security No. ..........5 5 . 8 r P i - 3 5 0 2 440 Brarman Street..... K N P L O m i ADONI San Francisco. California. 220 San Montgomery Street INSURANCE CANNIIN S A D D ICSS Francisco, California________ 1. JOHN WYSS... .. KAM I OP IM P L O T II at r\ anhp.atna...worker O C C U M T M H AT T I H O f IHJURT _____ 1 0 / 1 V 9 9 , alleges thit while employed on____________ U 2 Y * . ' a n ar h it MTI Of mjvn ,,at. v a r i o u s placea.-.. -- .. C IT T , T O W * o e f u e l w * m K J U 1T o c c d r r e o ------ l P _ 6 l _ California, by Mu n d e t Cork C i L . ... NANI OP IMPIOTI ______t he sustained injury arising out of and in the course of the employment, as follows: gyposuTH. tn dust .and-- forelCTi suhntnnnea-.oyer-inany.yara.. ------------- smiting in * EXPLAIN NOW INJVftT WAS NCCXI* cheat-- disability ~ tlII1TraTIorl0D,wm imi**omniT t*iTi ,, Aetna Casualty 4 Surety Co. ............ was the employer's insurance carrier on date of injury. 2`7.77.7777 a., .f.loti.was rot'i.iueed,.TIT.WHITHI..Itf.,.u*100.UHIH.U.IB j. ..N3Yembx..lQJ...126i. tfi..jp.cej5i.n.t------------- P C B IO M OPP W OI D U I TO T N I IN JURY A. "Was compensation paid?----------h -------- i- T U OR IO 5. Earnings at time of injury $---------B f t X --------- TO TAL TAIO ______________________ MONTH Will DATI INJURED RETURHIDTOWORI DATI LAIT HIDICAL fUINIRHIO $ CULTRATI DATI Of LAIT TATMIRT The basis of pay was....... -............-- .................................. TATI PAT PINIOO O HOURLY ATI. NOUN A OAT AND OAT* A WILI 6. V a s medical treatment needed?------- J O S ---------- t i r oe *0 Who furnished treatment?. self I T I M H S O f OeTORR WHO TREATED THE IH JU E T AHD IT A T I WHO M ID T H I I I DILL 7. This application is filed to determine liability for: a. Temporary disability....y f i S b. Permanent disability------ y e S c . Medical treatment Til OR *0 TM ** yeS e. Litigation expense.......... ........... L ----------- -- --------------------------- STATI ANT OTHIR RIASOM d. Medical costs. 5 9 O A KL.I1DT3CAS^E-RUHRERIOfARTOTHERAffLICATIONRfill! W H E R E F O R E , it is re q u it'd that a time and place be fixed for hearing and that an award be made granting n e b relief as may be proper under the Workmen's Compensation Laws of CalifornINia.. " _ Dated at. Oakland A _____ w California, ....January . I Q a 1 9 o 2 Hearing requested at----------- O a k l a n d ^ cm Number of witnesaea. Eatimated time of trial--....... H, PARRISH^ PADUCK 4..CIANCY APPLICANT i ATTORNEY > Financial Center Building eland 12, California garclirtg the various listed employers. ^ ~ " Coen Company - No Record. . 1-iundet Cork Corp. - No record prior to 12-51-39 Aetna Casualty & Surety Co., Policy 1C-110500, 12-31-39/44 l Policy 1C-10000, 12-31-40/45 ,, Policy C-20200, 12-31-1*5/46 ,, Policy 1-C32100, 12-31-46/1*7 ,, Policy 1-C44800, 12-51-47/48 ,, ,, ,, - Policy 1-C44800, 12-31-4S/49 Policy 1-C70600, 1 2 -3 1 -49/50 Policy 1-C6720, 12 -3 1 -52/53 Policy 1-C23413, 12-3i-bO/Cl Plant Rubber & Asbestos Works - No Record. R. W. Giddings Supply Co. - No Record. Bay Cities Asbestos Co., Ltd. - No Record. Western Asbestos Co. State Compensation Ins. Fund, Folicy 95224, 1937 through 105 Standard Asbestos Co. - No Record. Warren & Bailey Co. - No Record. Pacific n^pio/rcrs -u** vw*; P*ollcy cw.T''078l>7 *10w-1 -3J9t/X1*` Industrial Indermity Co., Policy CC-100021, 1-1-56/57 ft If Industrial Indemnity Co., Policy CP-10065^, 1~1"56/57 Policy CP-608056, 1-1-59/60 Fish-Dee-Lish Corp. - Ho Record. E. B. Badger 3 Sons Co. - No Record. Harry A. Dutton, Jr., Dutton Asbestos Co. - No.Record. Van Arsdnle Harris Lumber Co., Inc. - Ho Record. Rickaond Shipbuilding Corp. - Ho Record. Western Precipitation - Ho Record. . Permanent Metals Corp. - Ho Record. G. R. Dutton & C. A. Leighton, et al, Western Fiberglass Supply Ltd. - No Record. Freeac-Lorentzen Co. - No Record. Asbestos Supply Co. of Seattle - No Record. Racossa Asbestos Co., Charles R. Brower fc E. E. Saberhogen - No Record, fetal Clad Insulation Co., Inc. - No Record. Jsrar & O l m n Co. - No Record. Chas. R. Brower & Co., E. E. Saberhagen - . Ho Record. \ . Fiberglass Engineering & Supply Co. of the Northwest, Inc.. - Not California. Northwest Corh 2s Asbestos, Inc. - Ho Record. Armstrong Cork Co. Travelers Insurance Co., It Oakland, Calirornla Coast Insulating Products (A ,36736, 5-1-55/56 Argonaut Insurance Co., Policy ^ ; Pacific Employers Ins. Co., Policy VC-15163, 5-1-57/58 a. T ^ ,e+rv Works or North California Vacation Trust Insulation & Asbestos Industry Works or o n Toed Nn. 16 - No Record. Mnldoon ComTpna^nnystrial Indemnity Co, Policy CG-5O3OC&, 7-I-56/5T Owens C o m i n g Fiberglass Corp. Aetna Casualty & Surety Co Policy 3 1-C-822, 9 - 1 - 5 6 / 5 7 Policy 3I-C-879, 9 - 1 - 5 7 / 5 8 Policy 31_c "926> 9 - 1 - 5 8 /5 9 Wm. Thomas Tuck - No Record. Dan Caw Industrial Indemnity Co., Policy CN-208831, !+-2 1 -57/58 If Policy CN-216623, b-2 1 -58/59 Thos. C. Douglass, Jr., Douglass ^ pJ -,065 6-19-57/58 il.S.Fidelity & Guaranty Co., Policy CPJ-10t>5, o xy ;>(/? Armstrong CTroanvterlaecrtsingIn&suSraunpcpely CCoo.., Policy RUB-7226992, I-I-58/59 If Policy RUB-7768159, 1-1-59/60 Harold G Lorentzen, Lorentzen Co Industrial Indemnity Co Argonaut Insurance C o ., , Policy CC-6OOO5 4 , 1-1-59/60 Policy 53565, I - I ' ^ / d ! y Strrc - .^.1n W i i.lr.ii. .y fc* ! JOHN HYSS, OBKME^ boabd compensation appeals s t a t e OP c a l i p o p k i a Applicant CASE SO. 62 OAK 0 f! s x o S and ' Defendants K * ,,ther hearing on the |the calendar for * ^ thereafter the pa filed a to * rxt [d e fe n d a n t. A hearing was hei en t p r o v id in g fo lump sum paymen ^ cC stS i 1 I v ^ e d settlement agr proposea & . , inthe sum of attorneys' fee 500.00, less au ^ and future assume unpaid ana laPPllCm r provides that a p p l i e d B a ^ recor<1 ,, a the l`1or\d[ Imedical - expense. NTjep fmjT1<3L$ settlement sum -spitaX ^ ^ ^ of the proposed M |settlement asreement, aisabillty inde^ity Board , is attributable to ^ 1 ,, 18 the opinion of he Compensation ^ ^ ^ ^ ade,uate and in t Uhat the compromise and should be approve- Lest interests of the pa dered services herern +,e attorneys have t litigation costs m Applicant s a ^ ^ ^ advanced litiS |reasonable value o 1 tk7.00 on hehaxi applicant. *" " r "" B = W " * '" C ..w - " " * i v, ft 1966, te, and follows: L rein on Marc ^ * named parties a L v a b l e in the manner 1 i a c Fbmf3.39>* \l ll ll car  f A 1 S/aur\eTtoy Caopmpplaincyan,t,theJohsnumWyo sf s.,|2h,y% A9e~t^nja Claesssualtthye & # 2 HsulmS nofc y$69f7o.r00atptaoyrnaebylse tofeeSsmitahn,d Pcaorsrtiss.h.,..P.a.d.u.c.k.... $2,499-5!) 3 (b) To applicant, John Wyss, by the following: 4 State Compensation Insurance Fund.............. 1,429-34 5 Plant Rubber & Asbestos Works, a corporation..... 790-9 6 Pacific Employers Insurance Company.............. 158.01 7 Industrial Indemnity Company..... *-............... o R LlQ 8 Argonaut Insurance Company............ 58I.8O 9 Fireman's Fund Insurance Company.......... 129.29 10 Travelers Insurance Company................ Z .. ._1J603134_ 11 Ocean Accident & Guarantee Corp., Ltd............ 43.10 12 ' United States Fidelity & Guaranty Company......... 25-00 13 Employers Mutual Liability Insurance Company 14 of Wisconsin..................................... uu 15 TOTAL $6,500.00 16 17 18 WORKMEN'S COMPENSATION APPEALS BOARD n 19 ( r f/J^ n } a. - 0 20 21 22 23 24 Dated at San Francisco, California 25 26 Service by mail to all parties/ks shorn on Official Address Record. 27 28 742 c& 3C >rm 3: >2<} i 2 S 1 WORKMEN'S COMPENSATION APPEALS BOARD 2 STATE OP CALIFORNIA . 3 4 JOHN WYSS, 5 ,,i *" V'- Applicant 6 vs 7 MUNDET CORK COMPANY, and AETNA CASUALTY & SURETY COMPANY, et al 8 9 Defendants CASE NO. 62 OAK 7^22 OPINION . and ORDER (Approving Ccompromise -and /Release) 10 11 12 Reconsideration was granted herein`ana puy c/s^Hretumed to 13 the calendar for further hearing on the issue of proper parties 14 defendant. A hearing was held and thereafter the parties filed a 15 proposed settlement agreement providing for a lump sum payment to 16 applicant in the sum of $6,500.00, less attorneys' fees and costs, 17 and further providing that applicant shall assume unpaid and future 18 medical and hospital expense. We find, from the record and the 19 settlement agreement, that no part of the proposed settlement sum .20 is attributable..to temporary disability indemnity. 21 It* is the opinion of the Workmen's Compensation Appeals Board 22 that the Compromise and Release Agreement is adequate and in the 23 best interests of the parties and therefore should be approved. 24 Applicant's attorneys have rendered services herein of .the 25 reasonable value of $650.00 and have advanced litigation costs in 26 the sum of $47.00 on behalf of applicant. 27 For the foregoing reasons, 28 IT IS ORDERED that the Compromise and Release Agreement filed 29 herein on March 8, 1966, be, and the same hereby is, APPROVED, 30 [payable in the manner and by the named parties as follows: OSP IA C Fo*v 3 39 S54U*3-^, *8 SM m 2 ^ Rq. - 1- 1 2 3 4 5 6 7 8 9 10 . 11 12 ' 13 14 15 16 (a) To applicant, John Wyss, by Aetna Casualty & ' Surety Company, the sum of. $2,499-55* ^ess_^je , sum of $697-00 payable to Smith, Parrish, Paduck ^ ^ & Clancy for attorneys' fees and costs.............. . > . ^ (b) To applicant, John Wyss, by the following: State Compensation Insurance Fund.... -...........1,429-34 Plant Rubber & Asbestos Works, a corporation..... 790.09 Pacific Employers Insurance Company............... 158.01 Industrial Indemnity Company...................... 215-48 Argonaut Insurance Company........................ 581.80 Fireman's Fund Insurance Company.................. 129-29 Travelers Insurance Company....................... 603-34 Ocean Accident & Guarantee Corp., Ltd.............. 43-10 United States Fidelity & Guaranty Company.......... 25-00 Employers Mutual Liability Insurance Company of Wisconsin..................................... . TOTAL $6,500.00 17 18 WORKMEN'S COMPENSATION APPEALS BOARD -n ' 19 20 21 22 23 24 Dated at San Francisco, Cal^gornia 25 . 26 -- -----------------------------------* * Service by mail to all parties/s shown on Official Address Record. 27 WYSS 28 620AK7422 Opn. & i&rd .jj (Appr. C&R) " 30 IAC FORM 339 jS4IJ.S2n- a>M * ` - 2- I BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA CLAIM NO 62 OAK 7422 / ) )* < I > -1 j \ J V vs > ) MlHiBBi' COAT CO M57,NY ;iUd ) AETNA CASUALTY Cliif'r/ ) :p r.M y i-, a L ) ) Bei'end -mr,s 1 NOTICE O? TIME ANi; 10.A; E CF i * \T z' rw/<4> CCT1CK 10 -`.T4/rJ i!-***i*l?ol r-lt c^ Sou o r ; h ii-vby uotl.Osd f'. -- b0* N1'.^*d-cim*',' yi Or; ing '.A.17 be held ir, no abo re-anvitl'`;'J. a ,:Lion :A '500C 3ta : Budding ' IlVi Osr x3n Street C:'.:Jand , C?.li f'" im i ~ December 9th,l65 o;no A J w 2el ( ALL DAY) -j- ALCOA: ITERA 11ON i z J <(.:. . -3 t.-lc. - - 1 1 m"* j. ;>. ^ ^1' lT'i'j:. ' !- JMDj y77"'' 0 /-.?( ;D ' CdCACSSIC -: , Hi.; U U'1! ' A',*;- TP'V *1'"T ^ 's or -;o -;oc " 7EU ^ T'V . '1 c -..'Hi Tf' '- QCT 2 2 lSb5 i c m in ss F a s t No, 62 CAR 7422 w i n 1 :cr,, 3 0- Bor. 91 3 , C lo a r ia k e H ig h la n d s., Lake C ou n t" cm.'-t; . r-.sr .ruCnol: &, C l a n e / ,3 1 F i n a n c i a l C e n te r B in g ., ,0 c k ia r .:l Mundet tee ta n c . 440 Lrarman S tr e e t., Sap Franc .'.ato _ e me C;.s 4 S-,i;--?t y Se , 2A1 on tgcn c.ry S t r e e t . San f r a n c i s c o 3ed re..*.'. f; ;. y .t- ; . Morii:i 1 Ir .-.old C Bunn S t r e e t , Can F r a n c is c o In d u s'.r o s i ir e.v/inity C V o y ,3 Sanse-reo Sc.' . San F r a n c is c o P a c i f i c lev' A r e in su re , t e i;o c , 2.',>> P in a S t r a w . San Frame i seo S t a t e Corren f t ion In s.m ar.ee F u n d *525 G olden G ata Avernte, San F r a n c i su o Ocean A icick.ivt & G u aran ty Jr.C o C o , , L i t e . ,,315 Montgas c r y S t 5e s t . San i*ran ease D r o lo v w s Mu u 1 L _ a i v l r s . C w o F V / isccr.sm , Bou r/.;? , San F r a n t i see F i r m w ' s Fir d L .s jran eo tevp an y 332 Pine- Sure a t . San k rariM aru T ravet i v In a u ra r,c i Go., 6956 W Vost.tr S t r e e t ,. tu M ar .t- wrgiosniwr . Insure nee S o , , 550 C a l i n o m i * S t r e e t , S a, F r a n c is c o U w F i i l i t / i. Cue,cant; Oc. ,, 4.V C a ij f o r n i S' >-i San CO Hanna 4 L ropny.. i5->o Far. F a b io nveni3. D a lia ed T aylor' e B o r to r , 233 S a n s v io S t .r n c t . Gnu F r i n c l s e c _ _ Brcbsol--... P h lo g o r A a r r ir o u . 115 B utto}' S t r e e t :. San F r a n c is c o S t a t e O'i'/'c.rtjiiont c f Ehit lo vii-erro, Box 3 53 6 , F i neon Ar.nex, San F r a n c is c o P ia n i PFeber 4 A ste-rtss W orks, 53? Bram isi! S t r e e t , -San F r a n c is c o Bay G ii w ; Aeb a s i e s Co, L td ,, , e/e Western:. A sb o stu s Co VJesu e re A s'v -sto s Company, 675 Townsend S t r e e t , San F r a n c is c o S ta n d . .2 i is tm o oc Ccrnrar. y... 450 Sry& nt S tr e e t Ben F r a n c is c o V/arron v B a i t e , C e ., J f C le e o n i S t r e e t ;, San Fran e: eco J T . r:: tdui rp.e- e t v n , i n o , , 1351 O0 ^ce*-a;_n A venu , Erner^ v i l l e a n o A sco si Conr n y , iJO G - 6': in S t r e e t , Sn w yi'r i : a BHerr; yvdger 4 A., B istori Sor:,: , Ir Company,75 F..tw J(.D u*;.ton rav.i si i:ve sutoss Gw~<;t .ScW v..34 ssa eneve 4: : Cooo ..,,.v*,iy.2 s-ncO'- S t r e t : --an Var .-.ri de.].e G arrii* Lumt-er C o ,,In e , 5tn e. B ranr.w v; '?n e i s e 1 C r a s i in s u la -..In g P r o d u c ts , 2316 l-an Fv-.iar.do Read, Le 3 A v Ri chw nA S h ip b u ild io g C o rp . Box 1072 Richmond W s t e t r : F r a :.r p it a t io r u 10lC W. H in th S t r e e t L o sA n go ies j Parmari cu e. Moc:. s C o r p ., Boi: 10?2 r Riciraond Go Ri Dutton 4 C . 4 L c i / l t o n .e t a l .d b a W estern F ib e r g i s s capi *n:-r 'rve-rst i 'A w e t , San F r a n c is c o _ U'-Srie raro Co C'IC M in n eso ta et r e e t , S"ar. F r a n c is : o ?: bere. : s L u t,n c r in g lo S u p p ly C o v o f trm Northw est In e . 4 : 3~'ii o r t h w s l G lia o n S t r e e t , P o r ti ar Oregon f i t t o r Ce r> Ci o v r a n e .li b e r t y 4 C h a r lc t t : t i w t s . L a r : c. X ~ 3 - e c . i'-'T.-1V/ 3537 l i s t a F r eta o ;-,r. 4. 65- -: '*-. - ,., :,;?b.tr/:3.an,; C o r t , Ben f>*3. Sorta ! ' 1a j w insu ...au .0.13., lui: t.A n ; W u ircc e : s. , I, .. db- Insuls L: e I.t. or, ; 4 : Frane:*.w : C o r ti lev ir: r* A-or ' Mullen & Filippi, 315 Montgomery Street, San Francisco 94104  -A ''i i BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA C U I N NO, 62 OAK 7A22 r r . VLCb. TO PArC'uC: , -y X A. T. :i furthcl x. <, T1 fc-"!; 'Nii'.1 1-- ' !- ?:-:C S l : 1 U i iftir:f J .}-';3r. December 9:h195 P'.rr i/ig he-Td t^f-O ..'-L 1 C ALL DAY) i ' \T^ 0 UCT 2 2 1bb5 i uCvir- iio. CA. K ']L::2 t. ..loua W yrs? F i .. r-T ? r a ? '.' :j-'y / r]?nc^' 'V 1i i-hland . ix'ffc Count y Hrsn'A'i a l C en ter B l a g . .Ohiar.d t.o f-'^rn stl; 'San Francisco nuadat ::_ ^ wo?0'1JfortCeoerv Street. San Francisco Arina ijf.r i: ;9e iqo Bush Sar-ct San Francisco Sudg'.^ch. v:j0 Sannc:ne Sci .C'. San Francisco T.ndust :.a . xrc'.mni^y o. ....****' Sf"-.C. . San Francisco , Psoific Er a-oyvrs u i& w c i .** ~ ? lc eto Avenue, San Francisco State 0n -"^if0--.;y-A'anjcr-ci^'Cunou.,- Liiot e uOJ3-1"5""MUo..n.tu-or/n.etr.v. Sotycrreeentt,,Sc^an FTr?r-a.pnncr.-iQfc-r *V; Vrt-.j i V V `t-1 Cc .o F Wisc o n s i n , B o x 7?A7, San Francisco v: eu: F r : t,r;:;;r"V ^ :32 Fine S t r - t ,, Sa n Francisco "*7. ; - v ; \ : ; V , n r Str<rv.( Ga-ano. f:'/j Or .Li M.-'ni'' Stres San F r a n c is c o T:. a \ ' il--Li iv -1'.c p0 ... J i y C a l i f o r n i a S t r e e t ., Sur F r a n c is c o r r~v; V a b io 'A rcnuo. OalO.and> Ti- i:r. - rl' ' `n Sans-irr S r r e e t , San F r a ie m c v Va 7 r. k Fc-r V ^ - ^ :r :i Ste'7si-.rO-v San Franiiac _ ;"`C S -Pair.;y-;'-' "Seoir Dd rvyuarrttnnoo.n;tt r. . oo fr Sisonpp.'i.oy^roooniiti.,, v r.-.v<- r,c7 -- Brennan **`qq`A' nr,re-tr ^=m -F ^.-.,., r ... . Sl.0 > Piaui R i n c e r ^ ^ ^ teri_ Ai,b e 5 b os Co. _ r7*y , ,v ,-,e f- vrr-^rv, 675 Touren*? S t r e s s d v : : - ^ - A-,b a.--Gny. 2t50 erysnt Street, hv.nc*^J ; r ; rv .r' i o ^ S o c o n d Street, San F r a n c i s c o V'1 '-7 ,, r y s Son -,'I n c ., 1351 O c c a n avenue. E o i e r / v i ^ " r. . -|i m _ A:, ch Street Sneryv3.i.- e ?:.i;C -3 -= S " B ' 5::- r r r harr;/ V " ' r " U - - ; A 7- et*8 Street .Bostoi .-tess:'.c:>7etti ri sco s 1 UV V ; 'V J V V t V o . . 5r s a t o . a f t r e r . T. . . ito Brannan Strc-ets, F: Fi:n c i s E V i ' f V i . P i ' s t v o E c V ; / : 3 i 6 P V _ F rnenrtoycr.d, L:,s e ; ^ p/c . tv. 'tritieg Fer . Ber .l.u;B, Iiicit.,^na ,Ai.rAA'-.;t-:`:; .r-. ca. ,i .;.a-.y,i --i^C--16' v;,* r-:.,i.h .Stree, t. X,ceAr.s e.,=. V p V'rr-' iQ'7i Viciirion , P-uiit' B u t t F ' V E l d i V t V l t r . a Western FlberSltte fuppp lie ' 7 -,-i drvant Street, San i j a n c i s c o ^ . C/aries A y ssr;s; TCo"l, 693H Ilinnosoto Strreeeett., San irroa.nncc-iSsccoo_ S V - V r V t . 3 u ? ? 1 y c y y t ^ K o r t y e n t tne... Fit cr.s.a: F:?,i.^sanng c. oa..;a, ....: -9 v c ^ c h v e s t Glison S c r w a t , Porv.3ci.xCt Oi ^ ^ i-^sn-Air Corn^ny.Liberty M Gsariotts -trects, -- ,. . .t.t renn, V E i t w - c . 1517 t :.., r--;; ^ ,, ti c ,B ..d G rc.;i Corna.;, . ;.r . t. riberrlaa.. Co t . at` .; I n s r j a t i c n s ;-Up p rota intxitvjf - n Fi ar-M g : _< i.an Si' i:.c- : (', i." ; ..aSa'.,. '-T .. -...' "s Insuj c.Cn ' -. 9' *'6;. Lc'.iiC 1 A 1' r'" . .3 ' r Mllen & Filippi# 315 Montgomery Street, San Francisco 9 W 0 V 'L:AI, CCID15N7 OC '-ITSilON CF THE STATE OF CALIFORiHA rT V, A.*- \ ' T J. HC '-o' n/ O'cjp'Liu0w- ^C' $1^.'i*j Ju ly 23fcii*l?6l3 \ JOHN V/YSS Cast No. 62 OAK 7422 John Wyss, P. 0. Bex 913, Clear Lake Highlands, Lake County Smith.Parrish,Paduck & Clancy,315 Financial Center_Bldg*,Oakland 94612 Mundet Cork Company, 440 Brannan Street, San Francisco . Aetna Casualty & Surety Co.,220 Montgomery Street, San Francisco Sedgwick,Detert,Moran & Arnold,100 Bush Street, San Francisco Industrial Indemnity Coup any, 350 San some S t r ^ , San Francisco Pacific Employers Insurance Co., 22.>4 P m e otreet, San Francesco State Ccmo^nsation Insurance Fund,525 Colden Gate Avenue, San Francisco 0cen Accident & Guaranty Inc.Co. ,Utd. ,315 Montgomery Street.San Francisco Employers Mutual Liafc.Ins.Co.of Wisconsin, Box 7047, San Francisco Fireman's Fund Insurance Company, 332 Pine Street, San Francisco Travelers Insurance Co, 1956 Webster Street, Oakland Argonaut Insurance Co., 550 California Street, San Francisco U.S. Fidelity & Guaranty. Co., 444 California Street, San .rancioco '.'fi-r*,r-_ ,tv 9 .5`V..0 Pc1.,yJ.O Uc.;<lciifU 'artcr P o r t e r b y ; Shnf-crac Street, Syr F-f-ncisco _ r._Vvr;:-.v phler'C^ & Harrison.; 113 Sutter Street, San Frurbisco _ State' Department of Employment, Box 3534,Rincon Annex,fan Francisco Plant Rubber & Ashcat on Works, 537 Brannan Street, San Francisco Bay Cities Asbestos Co., Ltd, c/o Western Asbestos Co* _ - Western Asbestos Company, 675 Townsend^Surect, Sail Francisco Standard Asbestos Company, 450 Bryant otreet, can Francisco Warren & Bailey Co., 193 Second Street, Sar Francisco J. Tc Thorpe & Son, Inc,r 1351 Ocean Avenue, Efcieryyilic, Plant Asbestos Company, 1300 - 64th Street, Emeryville ^ > E. B. Badger Si Sons Co.ipany,75 Pitts Street,Boston,massachusei,*s Harry A* Dutton, Jr.,Dutton Asbestos Co.,532 Natcma Street,San Francisco Van Arsdale Harris Lumber Co.,Inc,,5th & Brannan Streets,San Frouiuxsco Coast Insulating Products, 2316 San Fernando Roac, Los Angerso Richmond Shipbuilding Corp., Box 1072, Richmond Western Precipitation, 1016 W. Ninth street, -*osj-ngeles Permanent Metals Corp., Box 1072, Richmond , G. R. Dutton & C.A.Leighton,etal,dba Western Fiberglass Supply ^ d , s 739 Bryant Street, San Francisco Qv^arles Ayers Co., 693 Minnesota Street, S^n Francisco Fiber-lass Engineering & Supply Co or the hortnv/est ,, Inc., 416 Northwest Glison Street, Portland, Oregon Armstrong Cork Company,Liberty & Charlotte Streets, Lancaster, renii. Muldoon Company. 1537 Thesta, Fresno ^ 0*er.s Corning Fiberglass Corp., Box 59p Santa ulara . Dan Caw dba Caw Insulations, 3600 " 20th Avenue, San Francisco Thomas C. Douglass, Jr., dba Douglass Insulation Cc.,>37 Irwirf* Street San Francisco Armstrong Contracting &. Supply Co., Box 1546, Lancaster, Penn, Harold 0 Lorentaen, 2257 Market Street. uauxana LEPORE Tirs TJST-.-.AL 'OC ID SWT Ci/ F ISSIO N O? THE STATE OF CALIFORNIA c u r i n o . '' c a :: y \ r i\yV*c---:: / f D. / .t r T ' - \'i / .I J . ,/ ! t- - * : .i . C 3 e p t en b .r 3 0 c. ,, 1 9 6 5 w 0.1*0 j. . uw. y Jackson /;r- i'- t'iri-i, }\ *% 1 />s* 9:Cv 1/c. '? oQ R R-:.'. A'LU' Ju i. y C bn aX 7o 3 JOHN V;YSo - }ic t'2 OAK 7422 Tnhn Wvss P. 0. Box 913. Clear Lake Highlands, Lake County Smith,Parrish.Paduck & Clancy,315 Financial Center Bldg.Oakland 94612 Miindot Cork Company. 440 Brannan Street San Francisco A c i n f O a s u a l t r n S r e t y Co.,220 Montgomery Street, San Francisco Sedgwick,DetertMoran L Arnold,100 Bush Street, bau Francisco Tndnst-'ia] Indonni tv Cci:itany,350 Sansone Street San Francisco Pacific Efrployers"" Tnsurar.ce Co, 244 Pine Street San Francisco natior Insurance Fund525 Golden Gate Avenue, San Francisco " S n n y U c c S Liid.,315 Kontgomery Street,San Frenello S S S y e r s Mutual Liab. Ini. Co.of Wisconsin, Box 7847. n Francisco Firenar.s Fund Insurance Company 332 Pine otreet Sun Fr&nts-sco Travaiers Insurance Co., 1956 Webster Street Oakland Ar;;onaat Ir turance Go, , 50 California Street, ban Frar.eisen ^ Uo>' Ficelity k Guarani'/ Co*, 444 California Street San Francisco panna k Brophy 1540 San Pablo Avenue Oakland TRvaoybleocrk.k PPhclretaeerr,&23Ka3rixSiasntse-o'onnr,,ne1uS1.t1*reS--euttteSr-anS-t-rF-er-eat-nv,cisSca-on- Frarncis_co . ^ State Department of Employment, Box 3534,Rincon Annex, ban^ Francrsco Plant Rubber & Asbestos vrorks, 537 Brannan street, mancisc- Bay Cities Asbestos Co3 Ltd., c/o Western Asbestos Cot VJestern Asbestos Company, 675 Townsend otreet. Sc.*. Francisco Standard Asbestos Company, 450 Bryant Street, San Francisco Warren & Bailey Co. 19o Second Street, Francisco J 0 T. Thorpe k Son, Inc,. 1351 Ocean Avenue, Emeryville Plant Asbestos Company .1300 - 64th Street, Emeryville e7 b o Badger k Sons Company?'? Pitts Street Boston,fiassacEmset^s Harrv A, Dutton JrDutton Asoestcs Co5^2 Natoma StreetSan Francisco yan rsdale hHarwrirs iL.unmmbheir' Co..Inc.,5th k- B_rannan streets. i,n Francisco Coast Insulating Products 2pl6 San rernano.o Roa^., Los Angeles Richmond Shipbuilding Corp. Bex 1072 RxCjJi:on ^ _ Western Precipitation 1016 W* Ninth Street LosAngeles Permanert Metals Corp, Box 1072, Hi cteaend T. . c f L Dutton k C.A.Leighton,etal,dba Western Fiberglass Supply Ltd., 739 Bryant Street, San Francisco Charles Ayers Co, 698 Minnesota Street San Francisco Fiberglass Engineering k Supply Coo? the Northwest, -.nc 416 Northwest Glison Street, Portland, Oregon _ Armstrong Cork Company,Liberty k Charlotte Streets, Lancaster, Penn < Muldoon Company, 1537 Thesta, Fresno . Owens Corningfj AF* iJL Lb/ ew -ri. glass Corpp Box. -c>/%; i Santa -------------- Cl^ra t Dan Caw dba Caw Insulations, 3o00 K 20th Avenue, San -rane isco Thomas C Douglass0 vJri. dba Douglass I-nsul"ati`on C~c, ,337 Irwin San Francisco ^ - <6rmst o-nv Contracting^ Supply Co o.-_Box 15^4 -tanas -er -, renn Raro lu I`T~. norenuse-n-, --12--5-7-Ki--in-c-etStreet, Oakland Street, INDUSTRIAL ACCIDENT COMMISSION STATE OF CALIFO RNIA JOHN WYSS P b' Applicant. VS. MUNDET CORK COMPANY and A ETNA C A S UALTY ft SU R E T Y COMPANY, e t a l , vi.LH. DEC 3 19 N o t ice o f Hea rin g c , n 0.._...62_ oa. L 2 Defendant_!L I You arc hereby notified that an application for compensation (a copy of which it attached hereto) haa been filed with the Industrial Accident Commiwioa o f the State of California. You are further notified that said application haa been *et for hearing at December l8th,1962 3000 STATE BUILDING 1111 JACKSON STREET OAKLAND, CALIFORNIA 9:00 A.M. (ALL DAY) Before Huff and that at (aid time and place the Induecrial Accident Crmmianca of the State of California will proceed ta hear and diapoet o f the aid application in the meaner prescribed by lew. N o t h T b e r a n k s w e m f e u i M W r i t aK f a m a l e a -- t e r r s n y U r U c i r U m a t t k i> W r V j I i W i f o n , a H m a m m trr v i t a -- M & c n l rtfreu, ptrrrUt, tmi k W T e d <l f r a o f K W W m i i a U s n i n r f U t w l o i i d : e M c fc * k a t n a . i . i m n i it w e ia , Dated: O AKLAN D , CA LIFO RN IA IN D U STR IA L A C CID EN T COMMISSION By Attistr*! Srmtrry The undersigned certifie that u an employee o f the Indurtrial Accident Commtwioo the served the foregoing sock oa the partie hereinafter mentioned, it the time et oppnaite their respective names, by depositing a copy o f aaid notice areached to a copy of the application therein mentioned, in a waled envelope in the United States mail on aaid day, at Oakland, CrK4~rrnmwwith the postage thrreoa fully prepaid, and eddreaaed to the aaid parties at their last known places of bcaincw or residence, er feCowa, to w it: N A lfit A N D A D D H E SS O F K X S O X i S E A V tD i DAT! ALL PARTIES LISTED IN ATTACHED APPLICATION ' BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA C es* N o. 62 OAK 7U22 .'OHK MTTNLFT CC.RK COM: ALT ar.J AETNA CA L v 'A L T Y AND SURETY Applicant V CCi 1-ANY i tal rder j0 !" nS Part7 Defendant Defendants Good Ccuie Appearing Therefor, IT IS HEREBY ORDERED T hat A L L P A R T IE S L IS T E D IN ATTACH ED A P P L IC A T IO N be joined as a party defendant in the above entitled cause. Ktjertt Cl :ie*.y *. U'J.1f IN D U STRIAL ACCID EN T COMMISSION ATLANTA BALTIMORE CHICAGO CLARKSBURG LOS ANGELES M IA M I MONTREAL NEWARK NEW ORLEANS NEW YORK PHILADELPHIA PITTSBURGH SAN FRANCISCO ST. LOUIS TORONTO TULSA A l je x a o t m e ir l <& A LIESX ID E R INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2 2 2 5 N O R TH CHARLES STREET, BALTIMORE, M D . 21218 February 25th, 1964 ,<3 TELEPHONE TUXEDO 9-4304 CABLE ADDRESS " ALEXBLUE" Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Gentlemen:- V T v : U1 re: Joan Wyss: (B9850928 & B 9850941)^ Steve Gilivich: (B 9850942 and B 9850927) WORKMEN'S COMPENSATION________ We have received a status report in connection with the two captioned cases from the Travelers Insurance Company and enclose herewith two copies of their letter of February 18th^ 1964, which will be found self explanatory. '.7" y It would appear that the Steve Gilivich case is about ^ -- --- ' ready to be closed out. We will advise you when we have j f i n a l closing report from the Travelers. 4T R Before tlie Industrial Accident Commission of tkc State of California Cmsc N o. 62 OAK ,.722 JOHN WYSS A ff.ic e n t y s. MUNDET CORK COMPANY, and AETNA CASUALTY & SURETY COMPANY, ft el ORDER TAKING OFF CALEND AR Ttrftsd&d ir Inasmuch ac tho applicant's pleading wap not proper ar-d the case was not ready for presentation, GOOD CAUSE APrr.ArjXC T H ^ r-n r?; It Is H ereby Oecet-j ed Thai tbe above entitled matter bt Ena uve s-n.e hereby is taken off calendar, and all further action on the matters now penning herein nispcnotd, subject to being ics.t, after notice, upon request of any of the parti hereto. OLH:ty (SEAL) DATS FILEI1 AND SERTED ON ALL PARTUS AS SMQWN OK ATTACKED LIST: 12-20-62 JOHN WYSS - Case No. 62 OAK 7422 - ORDER TAKING OFF CALENDAR John Wyss, 507 Capp Street, San Francisco, Calif. Smith, Parrish, Paduck & Clancy, 315 Financial Center Building, Oakland 12, Calif. . Munde6 Cork Company, 440 Brannan Street, San Francisco, Calif. Aetna Casualty & Surety Co., 220 Montgomery St., San Francisco, Calif. Sedgwick, Detert, Moran & Arnold, 100 Bush St., San Francisco, Calif. Industrial Indemnity Company, 300 Grand Ave., Oakland 10, Calif. Pacific Employers Insurance Co., 244 Pine St., San Francisco, Calif. State Compensation Insurance Fund, 525 Golden Gate Ave., San Francisco, Calif. Ocean Accident & Guaranty, 315 Montgomery St., San Francisco, Calif. Employers Mutual Liability Insurance Company of Wisconsin, 114 Sansome St., San Francisco, Calif. Hardware Mutual Casualty Co., 20 Battery St., San Francisco, Calif. Travelers Insurance Co., 1956 Webster St., Oakland, Calif. Argonaut Insurance Co., 550 California St., SannFrancisco, Calif. U. S. Fidelity & Guaranty Co., 444 California St., San Francisco, Calif. Hanna and Brophy, 1540 San Pablo Ave., Oakland 12, Calif. Brobeck,.Phleger & Harrison, 111 Sutter St., San Francisco, Calif. State Department of Employment, P. 0. Box 3534, Rincon Annex, San Francisco 19* Calif. Coen Company, 915 Bryant Street, San Francisco, Calif. Mundet Cork Corp., 7101 Tonnelle'Ave., North Bergen, New Jersey Plant Rubber & Asbestos Works, 537 Brannan St., San Francisco, Calif Plant Rubber & Asbestos Works, 1300 - 64th St., Emeryville, tialif Bay Cities Asbestos Co., Ltd., c/o Western Asbestos Company, 675 Townsend St., San Francisco 3> Cain. Western Asbestos Company, 675 Townsend St., San Francisco 3, Calif. Western Asbestos Company, P. 0. Box 3784, Rincon Annex, San Francisco j. t . Thorpe & Son, Inc., 1351 Ocean Ave., Emeryville, Calif. Plant Asbestos Company, 1300 - 64th St.,Emeryville 8, Calif. E. B. Badger & Sons Company, 75 Pitts St., Boston, Massachusetts Harry A. Dutton, Jr., Dutton Asbestos Co., 532 Natoma Street, .San Francisco, Calif. Ai V/IA( h - ' Aw >":> rA.vJNC; 'ipp j ; v n . *;i r ' t. ' r.a: 1 a . I P ' " . V ' r\VJ ,. 0 . , O 5 A a , * ' : irp'. ' a ! ;r , ; ;a , - ' : "i 4 *. . .'a .n -b- i na '' nniac'y - 4 ' ^t T . _ -J, - A. * . t nrn 'ru r-c :i?;< Su;,y ly ' ' , ' i ! ! f . V " TV'.". t'-'ic ., Sou y :, i :. , '-t. o s r j *; 'j ; , : 6. ~ ' -* ' . c*' " '' / ;- a y . f *. , . . 'i.-i ' . ':<'r~ahur-- 1, : . n r u Lo '' - t i ; ' ^L .sl-.ri' ^ ' ']rr.',.r P op- ;-r,y # - ,/'S >.or * rt Ma r -31p r A v .a i^ i '>5 ivo'Jit.'V a r c "'.i. y p ; j t'tr Ma p-'- n c.r.'i r. v/* . ' a 1 11- J , ^ Ha r i. e 1 i a ;' c . . ' p " j 7 \ ` A*v' t' , , S a n a nn,, S .t ; ! ; ] p H, u " ' 1o r e ' T ''or,-na'i y , ~ir y r.r-e a . t , S a n P: r.-L <r -':-nrcr,.as hA'T1' or . TV H*r * t \\ AO: k. :>r rr 3 0 i ' r ? r * ` * 1 t*">!*>*' ' .- m l *. Sr TS'-' -nr.'-1 A3'to 3tu - . 'V 1M - 'urani : . A aa t-t t- <, y . ;s At t >. j. ror jr ' or*. C o . . . i b a r t v v 'bu ; t-`- S*. i 'inc-irter. nrsvj r Tn uu ! ' -a i o n ?. vi A. Aa o f-, . r- ; >-, . a : r y - '''rus* I-'u^ 1 j '.'J o> .r af \>)r* '< ' s 'Tri' ` u r o r r n n y , I ->3V ^resro. u ai3 f. ' nur, 3 .lam ini; e rp ic is: :: c :'r o r .!.h 'n . i ' .c . y.-- o - t ,i Tr ;.:u f.k|>.ik . K*J `-c>.. ! .-'i';i:.i ,i ir*: , MU S a ve 1ri a i a r i r n ; ; , j > ') A`> ... : en "'p `. . r a u l u s s , f " . , S-tn. l u e s I n s u l a : l a r V . . S a n ? ^a : -:: 1 s c: n "> . C u 1 J f . r' :Tr**^~r r' ! c Ver* r r t-. i n ? aro VGlf'''^te ^ . F`'*> ^vrl y i A 1 *' i * . i . . ?i L* * T \ fif-ire in,i!.istr3 Accid :nt C o x p . m k i ti o cixt State o C aiforma ( V t,, Up;.; / / V* Apbit;tn`;* J ;, r v .! ,'O s ( .H .l'A M"'" pvt1,'.; c * A v / u T Y o T i K T Y ?0;V f * N V ^ (M & j | a ii i>fjKtlnz?tt * - ------------- . . . i Q R D O v t- l ' K f N ^ * - V-- ' Vw. a"*. |JV; 1 ) / Y j ; a c 'h*- a p j . ' * * V>" c r ^ 1 ,r, i 1 `;C. ?:y" r.c:': o v 'p f - " ' a i 't .n ' t A H t % ! ; > ' * { ' ; ; 7 :.v- : / K x - "> . J .`- ' . f j l ' i . i . t -` *'-t: litre:-* cv * x - * i' n i K f'r T )3f u .'f a.:--;'. - o i f - u i- r v c r : e n f i i e d r o a 'i r r `^ : n c t r e rvr-vr/ . w csu- ; p cn -jir,; : iij; * r.,"cxi> : j ' , i . ;>*)) i " ' r ' iV'iv r .V u , ri ~* f),T rrO . 1 ' : l. V '*. / . `` ' .('>***- ' r " r/,- X - - A.ft ' -1" ?- <- ------ ./ / /', / -.h / T- V'f ..eC -X h ' r k 'ia ' a \ AWD SHVL- O:, '.i t < A3 i.-- Fi H - :i John Wyss, 507 capp Street, San Francisco, Calif. Smith, Parrish, Faduck & Clancy, 315 Financial Center Building* Oakland 12, Calif. $lunde6 cork Company, 440 Brannan Street, San Francisco, Calif. Aetna Casualty It Surety Co., 220 Montgomery St., San Francisco, Calif. Sedgwick, Detert, Moran & Arnold, 100 Bash St., San Francisco, Calif. Industrial Indemnity Company, 300 Grand Ave., Oakland 10, Calif. Pac ific Employers Insurance Co., 244 Pine St., San Francisco, Calif. State Compensation Insurance Fund, 525 Golden Gate Ave., San Francisco, Calif. Ocean Accident & Guaranty, 315 Montgomery st., San Francisco, Calif. Employers Mutual Liability Insurance Company of Wisconsin, 114 sansome St., San Francisco, Calif. Hardware Mutual Casualty Co,, 20 Battery St,, San Francisco, calif. Travelers Insurance Co., 1956 Webster St., Oakland, Calif. Argonaut Insurance Co., 550 California St., SancFrancisco, Calif. y. s. Fidelity & Guaranty Co., 444 California St#, San Francisco, Calif Hanna and Brophy, 1540 San Pablo Ave., Oakland 12, Calif. Brobeck, Phleger & Harrison, 111 Sutter St., San Francisco, Calif. State Department o f Employment, ?. 0, Box 3534, Hineon Annex, San Francisco 19 Calif. Coen Company, 915 Bryant Street, San Francisco, Calif. Mundet Cork Corp., 7101 Tonnelle Ave., North Bergen, Hew Jersey Plant Bibber & Asbestos Works, 537 Brannan St., San Francisco, Calif Plant Rubber & Asbestos Works, 1300 * 64th St*, Emeryville, dal if B ay Cities Asbestos Co., Ltd., c/o Western Asbestos Coopany, 675 Townsend St,, San Francisco 3 Calif. Western Asbestos Company, 675 Townsend St., San Francisco 3 Calif. Western Asbestos Company, P. 0. Box 3784, Rincon Annex, San Francisco j. T. Thorpe & Son, Inc., 1351 Ocean Ave, Emeryville, Calif. Plant Asbestos Company, 1300 - 64th st,Emeryville 8, Calif. E* B. Badger & Sons Company, 75 Pitts St., Boston, Massachusetts Harry A. Dutton, Jr., Dutton Asbestos Co., 532 Hatema street, San Franolsco, C a l i f . r J.\ '-YC ' N'. C Aa 1^2 - <- ?.?. ^ AK Tv'G "F r FA I FNFAR ' V ' ' <. ) r c-'-v. r -r-o \t r \ ! , r . V. N ' r vn , r . , ' ns Ar.reJ ps , " a l i f . n - . . , . r ' y - 1' < -."n i e * a 1 . ** . . * p j^r- y*1 1 V' f- ^ c*" i s s C u p p ] y . 1 :j t Ur** '''r s n .; ! or- i f* A s e e s t . s S u n n i y C o r ; \ r y ,-i' C ; - * * ] p A, ~ v . ^ Tr 4/V*. 1 , t ; " i r s t A'-'r . , S r u t h , da -err. a Act- st 0 5 F u n : % - j 9 -.q r- ; ' s ' .1 cr i 1 1 i ' ., r'-r ^ * V, O r> i . TT <5>. 1 n.7 t P- ' N^rbar^n, M e t . i l .' i a d i n s r l . i t ? - n ; v <. . . * i V 'j' .a.11 an*'* f Irr.ari G c -p r a n y , v?0 N o r t h H a r d 3r.ir ' 'f ' - --if, T - T ' f . v . .. , Nr. 3ray.--. a .1 I s 'hi . *. -rower a nr. "0 . , F. 5. 'aberhagor. and -.. iol-'o:v s t , lid V!-I r !a Ct., fi'F.le 1, A'ashir. -.Ion T`u- E. kartells do., }212 Nixtl A v c ., ''outh, S e a t f p 4, Cas'rTnrton '-M-'-t.'S Avc "'etnary, Minnesota Ft., `-a:) Pr; erd'ec '7, Calif. Fit-erg! as F n g !r oerlny 6 -rnnly Ccrnpar.y of t.ue Northvest, Trr. 40o Nurthmest 1-2 1son Ft., Portland ;, r 1 Kuri r.w^ot 'Fork and Asbestos For.. F Fremont A v ., 'eattlp *, Wa r> . m s t - ' m g Co*"-: f'o, , .ib^rty A; Charlott0 Sts., i-an.'&ster, rV-.nsyivan 3a Insrltatior and Asbestos Industry Works of Sort:, 'a 1: fr **r?a Vacat 'on - Trust Fur.d Loca] Nun-.bpr .t>, ?00 Guerrero -t.. '-in ^ranr ?:-o /-a] door Fomuany, I t 3? ^hesfa, ,JrP S r .o , 'alif. C wens C o r n i n g F i f c e r g l a s ~c " 0 0 r a t 1o n , F . f , . Fo x o i , S a n t a - ' T a r a , C a l ' f . Wn. Tnorr.as T u r k , T a c k ' s S u p p l y 4r-y u j u o u ' ne Fa.r.p, - ^ v - , N e v a is Dar. Caw, Saw ' n s u l a t 3ons . ArOO - 30tr. Avt., Sa crar.er.tr C , '13 f. Tb.cs. Toupiass, ' r. , -cutlass Insulation Can ^ " a n c 1i\r o * , c a l 3f . \rr string !or ? rant <n r and :uy->jy SoT.Dd.ny, P. l.anco "tn r, ?-nnsy ivon: a Y. 'n r i rw * r. '3t re e t . , BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOU IS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A l e x a n d e r <& A l e x a ^ a ikk INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE 18, MD. September 11th, 1962 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE AODRESS "A LE X B L U E " Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania .if \ ,' I ' Dear Mr. Hofferth: , John(Wy ss, Applicant 3 jj?/A ^ v. MundetTCork Company and Aetna Casualty and Surety Company______ Supplementing our letter of August 31st acknow ledging receipt of papers in connection with the above case, we have now received a letter from the Oakland, California Office of the Travelers dated September 6th, 1962, which reads as follows? "This is to acknowledge receipt of the Petition to Join Further Parties in the case of Armstrong Cork Company; and Armstrong Contracting and Supply Corporation regarding Mr. John Wyss. We are now establishing files on these claims and will proceed to protect your insured interests." The above is for your information and file. Sincerely ALEXANDER & ALEXANDER, INC. A-/- 3? GENERAL ADJUSTER R BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA Alexander & Alexander INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET. BALTIMORE 18, MD. August 31st, 1962 j^ r TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS " A L E X B L U E 1* Mr. Wallace B. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania ,/YS Dear Mr. Hofferth: John Wyss, Applicant v. Mundet Cork Company and Aetna Casualty & Surety Company_____ We acknowledge your letter of August 29th, 1962, enclosing Petition to Join Further Parties naming Armstrong Cork and Armstrong Contracting & Supply Corporation in connection with the above. We have forwarded the papers to the Oakland, California Office of the Travelers Insurance Company for necessary handling. Sincerely ALEXANDER & ALEXANDER, INC. GENERAL ADJUSTER R August 29, 19 6 2 Hr. G. H. Finlay Alexander & Alexander, Inc. 2225 N. Charles Street Baltimore l8, Maryland Dear Mr. Finlay; ^ ^ / ,- ' Y/ - Subject: John Wyss, Applicant v "` Mundet Cork Company and Aetna Casualty and Surety Company, Defendants The enclosed Petition to Join Further Parties names Armstrong Cork Company and Armstrong Contracting and Supply Corporation as addi tional defendants in Claim No. 62 OAK 7^22 to he heard before the Industrial Accident Conmission of the State of California. Please refer this Petition to the appropriate office of The Travelers for hflndHwg and protection of both companies interests. Very truly yours, Enclosures MEB Wallace B. Hofferth Assistant General Manager Insurance Department V,J-&?)*& nnnnnnnn __ i_ V 7 4 2 1 B A 10 -U N S A F E P R E S . F A C T O R 1 19 I 2-D IV IS IO N PI ant. -Rubber ft,Abesioa----- ---BejP,,Qffi?e Wy.q.qT John M FM bid Abestosos Worker. DATE CASE CLOSED 9- INJURY SUSTAINED PRIOR AC C ID E N TS Kmosur. to * .t, & foreign substances vjr J g g ^ e a r ^ 10- PART OP BODY INJURED Hhoat. niaabilitY- 13-AGENCY PART l-U N S AFE M EC H AN IC AL CONDITION / .......... .............* ~ T AP Q /(} - O . /(P A .', ~ -3 t> - ??' J5-TYPE OF ACCIDENT IB -U N S A F E PERSONAL FACTOR P :,o r ! < F I B R E S O A R D P R O D U C T S . In C .- C O M P E N S A T I O N C L A I M S M ED IA -FO R M 373 V z SORT SY S TE M S -U S . PATS 2 .1 9 8 .1 2 # .3 3 9 .8 I 9 OTM FPS PEN MN Q R E M B O L D 4 C O I N PiiST 31 4L E N F I N E I 5 V STF MS-S AN fR^ .H !.S.CJ ? J _ Ci * r r o ' <> j ' u i N ri > r. rir ffr n n fi n n n f ' n n n n rin n n r n n r.r, n n n l, n , i - n , . |;'< V', > F I C R E 0 O A R O I R O D U C T I FORM 3 7 3 ft T* . ^ ' V 5