Document wrVXg4daQk9qmDDgLe3ZzMNZ3

FILE NAME: Fluor (FLU) DATE: 1963 DOC#: FLU004 DOCUMENT DESCRIPTION: Worker's Compensation Docket WOR cRS' CO M PENSATIO N A Pf rriEALS BOARD STATE O F CALIFO RN IA ALLEN EVERITT, C ase No . 63 OAK 11139 Applicant vs WESTERN ASBESTOS COMPAN, et al, and STATE COMPENSATION INSURANCE FUND, et al, Defendant CERTIFICATION I hereby certify that the attached documents are true and correct copies of the original documents filed in the records of this office in the above-entitled matter. ATTEST my hand and the Seal of the Workers' Compensation Appeals Board of the State of California. le 17 18 19 20 Workers' Compensation Appeals Board 2l 22 23 24 Dated at San Francisco, 25 California, this 16th day 26 April, 1984. 27 DfFAATMSMT OF INDUSTRIAL RELATION* BlVlEiON OF INDUSTRIAL ACCIDENT 1 ( ir in v iiii BL adoeta& c REMIT TO: p.o. b o x IIQIS G a n f r a n c i s c o c a 94101 C ai5 ) 6 6 4 .3 Q 6 S LEGAL DOCUMENT DUPLICATING SERVICE PERTAINING TO: A L L E N E V E R I T T WORKER'S C O M P E N S A T O N A P P E A L S B O A R D LN F R A N C I S C O ( c Case No. Dote Applicant_____ Injury Employer Carrier/ Type Adi Self-Ins.__________ Per. Order Cge 63 OAK 11139 Everltt, Allen 463-1-63 Western Asbestos SCIF (only) 1946- F&A 3r3 8 -5-63 (Asbestos wkr.) X But see SCIF's Petition Tor Joinder 1-22-64 Order Joining Defendants 1-28-64 Petition to Dismiss GCIF's previous Petition 9-12-66 Order Dismissing 9-16-66 Supp. FAA 5-19-64 (PD 1-31-64) R eferen ce Contributors: Armstrong Cork Co. Armstrong Contract ing & Supp. Co. Charles Ayers Co. E. J. Bartells Co. C. F. Braun & Co. P . Ca rey M f g - Co. T.C.Douglass, Jr. Fluor Maintenance Mundet Cork Corp.) Owens Corning ) Fiberglass ) Plant Asbestos Co. Thorpe Insultn. Charles Ayers Co.) H. Lorentzen Co. j Plant Asbestos Co) Reliance Ins. Co. (Sue. to Standard Acc . Ins. Co. Trave 1er* Argonau Enployei Arr.er . Mo Cen. Acc: u . s . Fid. Cont Cas Aetna Cas. Amer. Empio, Fireman's Fu Indue . Indenu !  c c ( c 1 BEFORE THE INDUSTRIAL ACCIDENT COaMIGGIOH OP THE STATE OP CALIFORNIA 2 CLAIM NO* 63 OAK 11139 3 ALLEN EVERITT 4 Applicant, FINDINGS AND AWARD 6 V3 6 ASTERN ASBESTOS COMPANY, and STATE COMPENSATION INSURANCE 7 FUND 8 ____ Defendants.] f :l / :j - 1L5 A*' A 0 An Application having boon filed herein, all parties 10 having appeared, and the natter having been regularly heard before' 11 Olney L. Huff, Referee, and submitted for decision, said Referee now- 12 makes his Findings and A'./ard as follovr-: 13 FINDINGS OF FACT 14 1. Allen Everitt, b o m March 7, 1900, sustained an injury 15 .arising out of and occurring in the course of his employment, con? J slating of asbestosis caused by hia exposure to asbestos while in th 17 Ienmploy of Uestern Asbestos Company for the period 19^6 to March 1, ? lo 1 9 6 3 , ao an acbcotoo worker. At cald time the employer-1 incuroncc 19 carrier was State Compensation Insurance Fond. 20 2. Said injury caused temporary total disability beglnni: 21 May 1, 1963* to and including August 1, 19^3> and continuing, entit 22 ing applicant to compensation during said period at the rate of 23 $70*00 a week, based upon maximum earnings. 24 3- The evidence is insufficient to indicate apportionraer 25 Applicant is in need of further medical treatment to 2 6 cure or relieve from the effects of the injury herein. 27 5. Applicant has incurred the expense of a medical repo 23 from W. R. Brode, M. D., in the sum of $15-00, and the expense of 29 examination, report, x-rays and laboratory tests from Joseph Ross, 30 M. D., in the sum of $112.50, necessary to successfully prove his r" -- * ____r _____ .... c ( ... ( >n-1*' u 1 claim and is entitled to be reimbursed for the same, paynent of 2 $15.00 to be made to Dr. Brode, and $112.50 to Dr. Ross. ' 3 6 . Applicant 1s entitled to reimbursement for self-pro 4 cured medical treatment, the matter to be adjusted by the parties. e 7. The Department of Employment has paid unemployment 0 compensation disability benefits and Is entitled to a lien against 7 unpaid compensation at the rate of $70.00 a week for the period 8 beginning May 1, 1963, to and Including July 14, 1963. 9 8. Defendants were not prejudiced through lack of notice. 10 9. The Injury herein was caused by applicant's employment 11 on land and the Commission has Jurisdiction of the case. 12 10. Applicant became disabled and rirst had knowledge that 1z hl3 disability was the result of his employment within one year 14 prior to tho filing of tho application for compensation benefits and 15 the claim Is not barred by the statute of limitations. 10 11. Applicant's attorneys. Smith, Parrish, Paduck & Clancy, 17 have performed legal services of the reasonable value of $75.00 and 1? are entitled to a lien In said amount against unpaid compensation ID wnlch Is to take priority of the lien claim of the Department of 20 Employment. j 21 AWARD j 22 award IS MADS Infavor of ALLEI! EV3RITT against STATE j 23 COMPENSATION INSURANCE FUND of temporary disability Indemnity at the | 2 4 rate of $70.00 a ueck beginning May 1, 1963 to and Including | I 2 5 August 1, 1963. and indefinitely thereafter, until the further order j I 2Z of this Commission, le3S the sum of $75-00 payable to Smith, Parrish,- 27 Paduck and Clancy a3 an attorneys' fee, and less the lien of the 23 Department of Employment at the rate of $70.00 a week for the period 2D beginning May 1, 1963 to and Including July 1*4, 193* 35 y n: -2- ------ JC---------- c C c " i i ir t r tt'j . 1iiiif ir inm i~ ri rnrn 11r 11 1 11 min i iiny ^ i n m r u i>n u * n 1 1 AVARD IS FURTHER MADE In favor of ALLEN EVER ITT against 2 STATE COMPENSATION INSURANCE FUND of further nodical treatment to 3 cure or relieve from the effects of the Injury herein. 4 AWARD IS FURTHER MADE In favor of ALLEN EVERITT against 0 STATE c o m p e n s a t io n INSURANCE f u n d of medical-lgal costs in tne sum e of $127.50 payable as follov/s: $15.00 to W. R. Brode, M. D., and 7 $112.50 to Joseph Ross, M. D. 8 AWARD IS FURTHER MADE In favor of ALLEN EVERITT against 9 STATE COMPENSATION INSURANCE FUND of reimbursement of the reasonable 10 medical expense incurred by applicant for the cure or relief of the XI injury herein. 12 IT IS ORDERED that State Compensation Insurance Fund 15 report to this Commission on Form No. C-6 within ten days after 14 cessation of payments under the above continuing award. * c 15 I / 7 Q 19 D^/RUFF, REFE1 -INDUSTRIAL ACCIDENT COMMISSION 20 21 22 23 24 25 DATE FILED AND SERVED: August 5, I963 (ty) 26 Allen Everltt, 449 - 22nd St., Richmond, Calif. Smith, Parrish, Paduck & Clancy, 315 Financial Center Bldg., Oakland 27 Western Asbestos Co., 675 Townsend St., San Francisco. Calif State Compensation Insurance Fund, Personal Service 28 Department of Employment, Personal Service 29 30 f 13 -3- * ( ( r JA;I 22 :.; 'BEFORE THE INDUSTRIAL ACCIDENT ( OP THE STATE OP CALIFORNIA l2 . 3 CLAIM NO. 63 OAK 11139 4 5 ALLEN EVERITT, 8 Applicant, 7 vs. 8 ASTERN ASBESTOS COMPANY and STATE COMPENSATION 9 INSURANCE FUND, PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS ^t. ... 10 Defendants. 11 12 TO THE INDUSTRIAL ACCIDENT COMMISSION OP THE STATE OP CALIFORNIA, PANEL ONE: 13 14 Defendants Western Asbestos Company and State 15 Compensation Insurance Fund petition this Commission for an 19 order directing that additional defendants be Joined In this 17 natter because: 18 1* Applicant, Allen Evnritt, 'illegea that In the 19 period beginning 19^6 anc) continuing through 19^3 ho developed 20 an occupational disease arising out of and In the course of 21 his employment; 22 2. Applicant was in the employ of defendant Western 23 Asbestos Company for p^rtG of the following quarters: 24 6/30/46 9/30/50 9/30/46 ip/31/50 25 6/30/47 3/31/51 9/30/47 6/30/51 26 12/31/47 9/30/51 3/33/48 6/30/53 27 6/30/48 9/30/52 9/30/48 12/31/5? 28 12/31/48 3/31/53 3/31/49 6/30/53 29 6/30/49 9/30/53 9/30/49 3/31/54 30 and for no other time; 6/30/54 9/30/54 3/31/55 6/30/35 3/31/57 6/30/57 9/30/57 12/31/57 6/30/53 3/31/59 6/30/59 9/30/59 3/31/60 6/ 30/60 9/ 30/60 1?/31/6o 3/31/61 6/ 30/61 9/30/61 3/31/62 9/30/6? 12/31/62 3/31/63 31 32 r r / "o,. < ( 1 3. Defendants Viestcrn Asbestos Company and State 2 Compensation Insurance Fund allege that all or port of appli 3 cant's alleged occupational disease. If shown to have been 4 the result of industrial causation, arose out of and in the 6 course of employment for employers other than defendant e V.'estern Asbestos Company, and was wholly or partially con 7 tracted In the period beginning 1 9;i6 and continuing through 8 1963; 9 Jj* Defendants Uestern Asbestos and State 10 Compensation Insurance Fund allege that applicant wa3 employed 11 by the following employers Insured by the carriers indicated 12 as follows: 13 e m p l o y -g j 14 15 Armstrong Cork. Co, Standard Accident Liberty & CharlottoSts, Insurance Company 16 Lancaster, Penn, A33 C*11!Torn in Street Son Francisco, Cal if, 9/3V51 l?/31/bl 17 and Erploycrs Mutual Liability 18 Insurance Co. of Wis, 11h SancoT.o Street 19 San Francisco h , Calif. 20 Armstrong Contracting Travelers Insurance Co and Supply Corp, 1956 Webster Street 21 120 U. Line Street' Lancaster, Penn. OsVland )?, California 12731/59 12/31/59 3/3V 60 22 Charles f\yrc3 Co, Industrial Indemnity Co, 23 37' Brannan Street 359 S'inr.000 Street Son Franclnco 7 , Col , Gan rr;*nc1r.co, Calif, 24 and Argonaut Insurance Co, 25 559 California Street San Francisco, C-llf. 19/31/51 9/ 30/ 5^ 12/31/53 26 Coccien Ayres Supply Industrial Indemnity Co. 27 Company, Inc. 693 Minnesota Street 359 S^ncoTe Street S m Francisco, Calif, 28 Son Francisco J, Col, and Argonaut Insurance Co. 29 559 California Street San Francisco, Calif, 3/31/52 6/30/55 12/31/55 30 The E. J. B''rtello Co. Employers Mutual Liability 6/30/61 31 1212 Si/.th Avc., S. Seattle Wash, Insurance Co, of Wio. ll^J 3artsome Street 9/30/61 32 San Francisco Calif, - 2 - Cc ( 1 EMPLOYER INSURANCE CARRIER QUARTER 2 C, F. Braun tc Coxpany, American Motorists 3 A Corporation Insurance Co-r.nsny 1000 3. Frcrr.ont Ave. A 17 Montgomery Street 4 Alhambra, C olIfornia Son Francisco 4, Cjlir. 12/31/57 3/31/58 6/30/58 5 Tiic Philip Cary Manufacturing Co. 6 L^eVilcnd Cincinnati 15, Ohio 7 General Accident Fire and Life Insurance Corp., Ltd. . f 600 California Street/ San Francisco, Calif.' 12/31/56 8 T r a m s C. Douglass. Jr. United States Fidelity ic Douglass Insulation Co. Guarantee Cor.pany 9 2233 Ingalls Street California Street San Francisco 24, Col. San Francisco, Calif. 9/30/55 10 Flbrcboard Paper Self-insured 11 Products Corp. 1?9 Montgomery Street 12 San Francisco 11, Cal. 12 /3 1 //)7 13 Fluor Maintenance, Inc. Associated 7n P-roi ty Corp. 9/30/55 P. o. Oo : 7 0 1 3 ''* P *4I- ..***o .. 14 A 06 Ward Street Marti nr, California San Franci.oco, California 15 Fluor Maintenance, Inc. Continental Casualty Co. 12/31/58 16 Box 7030 2500 K . Washington 433 California Street San Francisco, California 17 E. Log Angeles 22, Cal. 18 I n r u l n M o n lz Asbestos lnd. Works of N. Cal, 19 V'-c. Trust Fund Local Mo. 16 20 200 Cu'-rn^ro Street San Francisco 3, Cal, 9/3V55 9/30/58 21 Harold C. Lorentzon 22 Lorentson Co-r.parxy 1155 Fi fth Street 23 0 "klard, Co 11fo~nia Industrial Indemnity Co. 3 C r ^ r s o r 1" S t r e e t San Francisco, California 9/30/55 12/31/55 12/31/56 3/31/57 3/31/59 24 Kundet Cork Corp. Aetna Casualty and 25 2101 Tonnelle Ave. Surety Company A'. Bergen, New Jersey 1330 Broadway 26 Oakland, California 3/3 1/52 12/31/51 3/31/62 27 Ovrenr Cornine Fiber';! as Aetna Casualty and Surety Co*, pony 23 International K. S. 1339 Broadway Subs *d j;ry of Owens Oakland, California 29 Corning Fiberglas Corp. 30 P, 0. Box 9 OI Toledo 1, Ohio 9/30/55 3 /3 0 /5 5 6/30/58 9/30/53 12/31/59 9/30/60 31 32 3 r r < ( 1 KMPLQYK3 INSURANCE CASHIER QUARTS 2 Plant Asbestos Co. 3 1300 - 6^th Street E.-eryvi lie 4 Oakland 8, Calif. 5 6 7 Industrial lr.Jenni.ty Co. 330 Sansor.? Street Sen Francisco, California and American Employers* Insurance Company Puss Building San Francisco, Calif. 3/31/52 6/ 30/35 3/31/35 6/30/56 9/30/56 12/31/55 9/30/59 12/31/So 9/30/61 9/30/62 8 Thorpe Insulation Co., A Corporation 9 27^1 S. Yctcs Ave. I/OS Armeies 22, Calif. 10 9/30/55 II 5 . Defendants Western Asbestos Company and State 12 Compensation Insurance Fund attach herewith as part of this 13 n^tlt'on 3 copy of the report of Depart--?nt of Health, 14 Education, and Welfare, Social Security Administration, 15 signed by Robert H. Hayne, Chief, that pertains to Mr. Allen 16 Everitt's employment during the aforementioned tine. 17 V/HEREFCHE, defendants Western Asbestos Company end 18 State Co'ipensatIon Insurance Fund respectfully pray that an 19 order issue directing that the aforenentloned employers and 20 insurance carriers be Joined as defendants in this natter, 21 and granting all other and further relief that nay be necessary 22 and proper. 23 24 Dated: January 20, 196*1 25 25 . . 7. ' . , , / , j f u - / k 27 Attorney for Defendants: 23 Western Asbestos Company 29 State Compensation Insurance Fund 30 31 32 - '1 - (r ( (i 1 (PROOF OF SERVICE BY HAIL-1013m, 2015.5 C.C.P.) 2 STATE OF CALIFORNIA) COUNTY OF ALAIEDA )ss 3 I nn c resident of the United States and a resident of the 4 aforesaid county; 1 am over the a^e of eighteen years and not a party to the within above action; ny business address 5 5s: ' 3360 Grand Avenue, Oakland 10, California e On January. , 1 9 6 *4, I served the within PETITION TO JOIN 7 ADDITIONAL EMPLOYERS AND INSURANCE C;BRIER3 on the various 8 parties in said action, by placing a true copy thereof en~ > 9 closed In a sealed envelope with postage thereon fully pre 10 paid, In the United States post office rail box at Elwood 11 and Grand Avenues In Oakland, California, addressed as follows: 12 13 Armstrong Cork Company, Liberty and Charlotte Streets, Lrrrastcr, rrnorylvS'Ms 14 Standard .ccident Insurance Coup?ry, 335 Cal iforr.Ia 3 treet, San Francisco, California 15 Employers Mutual Liability Insurance Co-pzny of Wisconsin, 11*4 Scnsone Street, Stn Francisco *4, California 16 Armstrong Contracting and Supply Coroorstion, 120 North Llrr.e Street, I/.ncaster, Pennsylvania 17 Travelers Insurance Company, 1956 V'ebstcr Street, Oakland 12, Cali corn'a 18 Charles Ayres CoToany, 37'* Brannon Street, San Francisco 7, Cal iforrla 19 Industrial Indemnity Company, 35 San go re Street, San Francisco, California 20 Aryonaut Insurance Coipnry, 559 California Street, S.:n Francisco, California 21 Charles Ayres Supply Company, Inc., 693 Minnesota Street, San Frerclsco 7, California 22 Tne E. J. Bcrtells Company, 121? Sixth Avenue, South Seattle *4, Nor,hir~tan 23 C. F. Dra;;r. and C o o m n y , A Corporation, 1000 South Frer.ont Avenue , A"1nor bra , Cal 1f o m l n 24 American Motorists Insurance Company, *417 Montgomery Street, San Francisco *1, California 25 Tne Pnilip Car;,- Manufacturing Company, Lackland, Cincinnati 15, On io 26 General Accident Fire and Life Insurance Corporation, Ltd., oOO California Street, San Francisco, California 27 Tr.or2 5 C. Douglass, Jr., Oau^lass Insulation Company, 2?33 Ingalls Street, 3?n Francisco 2*4, California 28 United States Fidelity and Guarantee Company, *4*4*4 California Street, San Francisco, California 29 Flbreboara Paper Products Corporation, 1769 Montgomery Street, Sin Francisco 11, California 30 Fluor I-irintenonco, Inc,, P. 0. Box 791 , *40o Ward Street, Martinez, Californio 31 Aanocioted Indemnity Corporation, 33? Pine Street, S'jn Franc loco, Californio 32 c r r { 1 Fluor intononcc, Inc., 13ox 703^/ 2 ? 0 0 East V.'achlngton Street, Bust Los Angeles 22, Californio 2 Continents 1 Csouolty Company, J133 Californio Street, Sun Franc loco, Col)Torn In 3 Insulation and Asbestos Industry V.'orks of North California, Vocation Trust Fund Local No. 16, 200 Guernero Street. 4 San Francisco 3, California Harold G. Lorentr.cn, Lorentzen Company, 1153 Fifth Street, . . 5 Oakland, California v`.urdet Cork Corporation, 2101 Tonnelle Avenue, North Bergen, e New Jersey Aetna Casualty and Surety Company, 1330 Broadway, Oakland, 7 California Owens Corning Fiberglas, International F. S. Subsidiary of 8 Owens, Corning Flberglas Corporation, P. 0. Box 9^1| Toledo 1, Ohio 9 Plant Asbestos Company, 1300 - 6^th Street, Emeryville, I Oakland 8 , California : . 10 American Employers' Insurance Company, Russ Building, Sun Francisco, California 11 Thorpe Insulation Company, A Corporation, 27^1 South Yates Avenue, Los Angeles 22, California 12 13 I certify, under penalty of perjury.* that the foregoing is 14 true and correct. 10 Executed on Janusry^J 196^, at Oakland, California 16 ; 17 ^ Jcanie XT Rucker 18 19 c - Smith, Parrish, Paduck and Clancy Attorneys at Liw 20 313 Financial Center Building Oakland 12, California 21 22 23 24 25 20 27 28 29 30 31 The proof of service by nail form, being signed under penalty of perjury, docs not require notarlz3tion. 32 -< r ( ( 1 BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OP THE STATE OF CALIFORNIA 2 CLAIM NO. 63 OAK 11139 3 ALLEN EVERITT 4 Applicant, G vs. FIHDINCS AND AWARD FOR PERMANENT DISABILITY . :t'l .1r.:!**' 6 WESTERN ASBESTOS COMPANY, and STATE COMPENSATION INSURANCE FUND 7 Defendants. e riir.D Wr\i ID 1 f 9 Petition for Permanent Disability Razing having been filed f 10 herein, all parties having appeared, and the matter having been 1 11 regularly heard before Olney L. Huff, Referee, and submitted, said ! 12 Referee now makes his decision as follows; 13 FINDINGS OF FACT 14 1* The injury herein caused permanent disability o C 100#* 15 2. Applicant's attorneys. Smith, Parrish, Paduck U Clancy, 16 have performed legal services of the reasonable value of $1,000.00 17 and are entitled to a lien in said amount against unpaid compensation 18 AW ARD 19 AWARD IS MADE in favor of ALLEN EVERITT against STATE 20 COMPENSATION INSURANCE FOND of permanent disability Indemnity at the 21 rate of $52.50 a v;eek beginning January 31, 1964, and continuing 22 until 400 weekly payments shall have been made In the total sum of 23 $21,000.00, and thereafter a life pension at the rate of $48.46 a 24 vjeek, less the sum of $1,000.00 payable to Smith, Parrish, Paduck A: 25 Clancy as an attorneys' fee. 26 27 HUFF, HEE^REE IrlDOSTRlAL ACCIDENT COMMISSION 23 29 All parties served as shown on 30 Official Address Record: May 19, 1964 (ty) ty OLNEY E. KUPP, REFEREE Oakland - April 2J, 1964 EVERITT CLAIM OAK 11139 Inj: 1946 to March 1 1963 REPORT OF REFEREE ON SUPPLEMENTAL HEARING ISSUE: Permanent disability. APK.TCMiT testified substantially as follows: He doesn't do anything except Just look at the walls. He is shortwinded and doesn't walk very good. He Just slt3 In the yard or dusts a little. He can't cook. He eats his meals in a restaurant. He has had no clerical training. He drove to Dr. Crlffeath. He caryfcakc short trips driving. He can't sit too long. When he walks a block and a half he has to stop and rest because he has shortness of breath. DISPOSITION; Within the discretion of the Referee case to be referred to the Pennanent Disability Rating Bureau; seven days to the parties for rebuttal of its report. Case otherwise submitted. OLH:RN OLNEY L. HUFF, REFEREE May 19. 1964 REPORT OF REFEREE ON DECISION Applicant has a permanent disability ao a result of the Injury herein and the factors of such disability were subnlttod to the Rating Bureau based upon the medical evidence and applicant's testimony. A rating of 1005$ has been recom mended and applicant is entitled to an award for the amount of compensation represented by such rating. OLH:ty c ( t y 1 \ 2 er WORKMEN'S COMPENSATION APPEALS BOARD STAT2 OP CALIFORNIA < 3 5ALLEN EVERITT ) 4 in * Applicant ) CASE NUMBER 5 if VS 63 OAK 11139 6 lWESTERN ASBESTOS CO., and !STATE COMPENSATION INSURANCE FUND; 7 ARMSTRONG CORK COMPANY, )ARMSTRONG CONTRACTING & SUPPLY CORP., 8 .CHARLES AYRES CO., ICHARLES AYRES SUPPLY CO., INC., 9 THE E. J. BARTE LIS CO,, JC. F. BRAUN U COMPANY, 10 TOE PHILIP CARY MANUFACTURING CO,, THOMAS C. DOUOLASS, JR,, DOUGLASS 11 I INSULATION CO., 12 *r*FFILBUORREBMOAAIRNDTEPNAAPNECRE,PROIDNCU.C,TS CORP., .HAROLD G. LOhSNfZEN, LOHEN i*ZEN CO., 13 IMUNDET CORK CORP., 1* !OPWLEANNST ACSOBRENSITNOGS FICBOE,R,GLAS, 15 rl'TSHTOARNPDEARIDNSAUCLCAITDIEONNT CION.S,URANCE CO., 16 IIEMPOLPOYEYJRISSCOTMUS7IUNA,L LIABILITY INSURANCE COMPANY 17 TRAVELERS INSURANCE COMPANY, INDUSTRIAL INDEMNITY COMPANY, 13 ARGONAUT INSURANCE COMPANY, AFRICAN MOTORISTS INSURANCE CO., OENERALOCCIDENT FIRE & LIPE INSURANCE CORP.LTD., \ rJ UNITED STATES FIDELITY & GUARANTEE CO., :,o CAOSNSTOICNIEANTTEADLINCDASSTUSAJLITTYY CCOO.R,P., AETNA CASUALTY & SURETY CO., 21 AMERICAN EMPLOYERS' INSURANCE CO. ) ORDER DISMISSING PETITION TO JOIN I ) ADDITIONAL EMPLOY ERS AND INSURANCE ) CARRIERS ) ) ) ) ) ) ) ) ). 22 Defendants ) 23 24 25 26 27 23 23 30 OAK 11139 Pursuant to Request of State Compensation Insurance Fund, and GOOD CAUSE APPEARING THEREFOR: P IT IS ORDERED that the Petition to Join Additional Employers (and Insurance Carriers, filed by State Compensation Insurance Fund on i January 22, 1964, be, and it is hereby, dismissed* SERVICE UPON ALL OFFICIAL ADDRESS (S E A L) PARTIES RECORD: LICHARD A. HI AS SHOWN ON September 16, 1966 (hg) w p.t rj % Jjp.i+i'-iujCn. -- c - ) . -, < ( A02967 r -, - , * c * ' * c 1 BEFORE THE WORKMEN'S 2 OF THE STATE O; CALIFORNIA - Vc ' -wt 3 c l m i ; h o . 63 OAK 11139 'W*,v nd;., 4 LLUH EVERITT, 5 Applicant, 6 vs. 7 EGTEFirr ASBESTOS COMP/iNY ni g t a t :-: c o m p e n s a t i o n 8 IJGl/RANCE PUL'D, ct a? , PETITION TO DISMISS STATE c o m p e n s a t i o n i n s u r a n c e Finnic PETITION TO JOIN ADDITIONAL EMPLOYERS AND mitUMICE CARRIERS, FILED J/dRJAKY 21, 1$6^ 9 Defendants . 10 On January 21, 19oh the State Corpensatlon Insurance u und filed a PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE 12 ARRIERS In the action herein. 13 The follov/ir.g named curri^rr h**vp cJ to nr.y the 14 '.>1lowing rums to defendant, State Corpensatlon Insurance Fund, 15 n regard to its claim for apportionment and reimbursement: 16 17 nr f.:iT n m ; KA.i'i/OYr;hs AMOUNT TO K P/ID TO SCIE 18 Reliance Insurance Co. Armstrong Cork Co. (as successor to Standard 19 tecident Insurance Co.) $ 297.78 eo Travel err- Insurance Co. 21 Argonaut Insurance Co. A>T*strong Contracting h Supply Company Charles Ayers Co. 22 D 'ploycj's Mutual of Kd u w j E.J. Dart ells Co. 23 American Motorists Ins. Co. C. F- Braun ?; Co. 391.^0 1)50.87 185.37 1D3.8.83 General Accident, Fire & Life Assurance Corn. Ltd. Tne Philip Cary J'fg. Co 236.83 U.S. Fidelity & Guaranty Co .Teonas C. Douglass, Jr. l O j .65 Continental Ca-.urlty Co. Fluor rr.intenn.nc':, Inc. i p ? .JA Aetna Casualty U Surety Co. Fur.dct Cork Corp. & Omens Corning Fibcrglas s 1810.57 American Employers Ins. Plant Asbestos Co. Firemen's Fur,a Insurance Co .Thorpe Insulation Co. Industrie? Indemnity Co. Charles Ayers Co., Harold C. Lorcntzen Co. and Plant Asbestos Co. 93.91 56.56 2976.00 TOTAL $ r i c 2 V2d ( ( 1 VH'dREFORE, Western Asbestos and S t 'te Compensation 2 Insurance Fund request that the PETITION TO JOIN ADDITIONAL 3 ^PLOVERS AKD INSURANCE CARRIERS Tiled on January 21, 1954, be 4 dismissed Kith prejudice. 5 R e s p e c t ft.1 l y submitted , 6 7 C. II. McHillan, Attorney 8 for Western Asbestos and State Compensation Insurance 9 Fund 10 Dated at Oakland, California this 8th day of September, 1900 11 12 c - Henna & Brophy, Attorneys at Law 13 15^0 Snn Pablo Avenuo, Oakland, California 14 c - Xoor.rre, Oosr.'tin f: Bancroft, Attorneys at law 311 California Street, San Francisco, California 15 c - Continental Casualty, 433 California St., 16 San Francisco, California, Attn: John X. Wilkes 17 c - '-I'-p.ioyers Lutu.nl Liability Insurance Co. 5B0 California St., Son Francisco, California 18 Attn: Hill Parrish 19 c - Henry G. Sanford, Attorney at Lav Hobart Baildin<5, San Francisco, California 20 c - Sedgwick, Detert, Moran ; Arnold, Attorneys at Law 21 111 Pine Street, San Francisco, California 22 23 24 25 26 27 28 29 30 31 32 c c V i___ 1 u US? I 1 I I i < 1 Allen Everitt - Claim No. 63 OAK 11139 / 2 DATE ORDER JOINING PARTY DEFENDANTS FILED AND SERVED: \ I 3 Allen Everitt, *4*49 - 22nd St., Richmond, Calif. Smith. Parrish. Paduck & Clancy, 315 Financial Center Building. 4 Oakland 12, California VO VaiUy j/Vt?, lor t'sb u Western Asbestos Co., &?5~-T-ovffiScnd~ St;, Sah F^rrtTr?/ r?11f . 6 State Compensation Insurance Fund, 3360 Grand Avenue, Oakland 10, California (Personal Service) e Armstrong Cork Co., Liberty It Charlotte Sta., Loricacter, Pennsylvania Armstrong Contracting tc Supply Corp., 120 N. Lime St., Lancaster, 7 Pennsylvania Charles Ayre/J Co., 37*4 Urunnan St.. Cun Francicco 7, California e Charles Ayron Supply Co.., Inc., 69 J41nncoota Ct., Can Francloco, California 9 The E. J. Bartello Co., 1212 Sixth Ave,, S., Seattle h, Washington I C. P. Braun U Company, 1000 S. Fremont Ave., Alhambra, California 10 The Philip Cary Manufacturing Co., Lockland, Cincinnati 15, Ohio Thomas C. Douglass, Jr., Douglass Insulation Co., 2233 Ingalls St., VJ 11 San Francisco 2*4, calif. pibreboard Paper Products Corp., 17&9 Montgomery St., San Francisco, \ 12 California Fluor Maintenance, Inc., P. 0. Box 791# *406 Ward St., Martinez, Calif. 13 Fluor Maintenance, Inc., Box 7030, 2500 E. Washington, E. Los Angeles 22, California 14 Insul ation ^ArbontopI<^d^-Wk>pka-K>'-H^Cal^.Vacr*Trtr3^--gund Lo cal* t Ic>^-l-^-K>-0aCTTrirro-6t>Tr--San-Franc lcc0-3 /-Callf? I 15 Harold C. Lorcntzen, Lorontzen Co., 1155 Fifth St., Oakland, Calif. Mundet Cork Corp., 2101 Tonnelle Ave,, N. Bergen, New Jersey ' ; 10 V r.v >4 17 \ N v 18 Iivf 19 f Owens C o m i n g Fiberglas, International F. S. Subsidiary of Owens C o m i n g Fiberglas Corp., P.O. Box 9 0 1, Toledo 1. Ohio Plant Asbestos Co., 1300 - 6*lth St., Bneryvlllc, Oakland , Calif. Thorpe Insulation Co., a corporation, 27*U S. Yates Avc., Loo Angolcs 22, Calif. Standard Accident Insurance o., *433 Califomia-St., San Francisco, California w ' - * > i ,ll.r - Employers Mutual Liability Insurance Company of Wisconsin, ; 1 ! ' \ 20 11*4 Sansomc St., San Francisco, Calif. Travelers Insurance Co., 1956 Webster St., Oakland 12, Calif. ! 21 Industrial Indemnity Co., 350 Sansome St., San Francisco, Calif. ; Argonaut Insurance Co., 550 California St., San Francisco, Calif. 22 American Motorists Insurance Co., *417 Montgomery St., San Francisco, ' California | >,23 General Accident Fire tc Life Insurance Corp., Ltd., j 6pO California St., San Francisco, Calif. f 24 United States Fidelity & Guarantee Co., *4*1*4 California St., i V v s 23 X 26 v> 27 San Francisco, Calif. Associated Indemnity Corp.. 332 Pine St., San Francisco, Calif. Continental Casualty Co., *433 C ^ l X i ^ J ^ S y ^ S . a n ^ F g i n c i a c o , Calif. Aetna Casualty & Surety Co., nf r Calif. [ American Employers* Insurance Co., Russ Bldg., San Francisco, Calif. 1 Hanna and Brophy, 15*40 San Pablo Ave., Oakland 12, Calif. X 23 Henry G. Sanford, 71*4 Hobart Bldg., San Francisco, Calif. Sedgwick, Detert, Koran & Arnold, 100-Bua2x-St., San Francisco, Calif. V 29 f! fu ~ *c ^ 30 1 DM ,3 / V I I EVERITT, AT,LEN *1 n a ma t lLi6--1963 M o71 AGE SEX Asbestosis INJURY SUSTAINED PART OF BODY INJURED U/S M E C H A N I C A L CONDITION a o o 'l i n f o r m a t i o n : IAC 3 OAK 1 1 1 3 9 HEAD OFFICE c o m p a n y . Pl a n t , division ?OG- 9975 C L-A IM N U M a E OCCUPATION d7T & X f- ^ ! P 1 P ,0 " i A C", C L A I M N u M . R a <5c n y AGENCY PART TYPE or a c c i d e n t U/s p e r s o n a l f a c t o r rOPM 5}-1*3 19-4J) FB050334 XJ*LOTIT. F ve_' TH/Ptl /T FUFT: D/A : / f < / 7 D/:___________ CC D/A:__________________ ULTUK: ^ T r -r TEWG1ATICH: #: _____ f ? ///S9 c l #; - i??s~ T/C Rat D/A:____________________________________ HRLY VAX D/A:_____________________ AVQ. VKLY. VAOX:_______________________________ HRS/WEQC:_________________________ COUP RAID: L06T n u * - : ABsarm rkrd: PUFT MEDICAL RffQRD plat pKRsomna rxcords PKIOR H D ACC: CLAU6; I CLAUft: IAC PRIOR CLAII6 k RATHOB; DUKt; IIPO TO R. B . , JR: X-RAB: MED SXAJG: 3EFCRE `THE WOFTREH'S COMPILATION APPEAL BOARD OF f|.a r SEAT'2 0? CALIFORNIA Claim 63 Oak 11X39 AL!7! HTERITT, ) > ) v;; is t e s t o - crripivw s-tc ) STATE CCMFENS/A1 Mi IWSUH-'.FCB FOND: GlTtERAL AOCIDUltl FIRE & ) A^U7lAi;C2 CORFOPftTICH, LTDC, et al ___ ____ Defendant o,___ NOTICE OF TIME AND PLACE OF FOEIKIIt HEARING NOTICE TO ALL PARTIES You are hereby noticed that further hearing Kill be held in the above entitled action at March 21, 3966 3000 State Building 1111 Jackson Street Oakland, California Ajjportionnent of Licbl^l^ 1:30 P.M, Before Referee Rickman (2 Hours) r 2. C. r 7 , -f \A C ) *^ /_\ ' ~x -- A . ^ V. j ~ ,^i ^^ D -- . _, f ~is<-f-L - _ ,,-- U- i . rr - / t . . / -, ; . v . ,ii - / >- x - f - l's- ^ < <-t'. -r ' C * il. r , J /'' ,o ^ _ , XH O k :' -><--a^ / '~V c. - 3 - / - 0 6 tC ^ ^ / O S */ " '5 V - 6 ^ L.-.J . (T- 'i_>^ctr~i-- J V 7/" /? 6 ? -- Xj L- /L' ^ { - (_ *> ? O J ' L '' *j / 7 5 /. ? 7 C _j> (p F054111 e L n a \ y /t7 ^V A y. - '-y!+* , ./ y *-' -t -^ \ { y -- ^ . .- -` - -- .l / . / j>L 7 ^ ^/ -*- , l -A- --i. --., V^l V - '- J 1- ~^-c - O 1^-^-'- -+ C-*'*'-- .--- --. * 1 -. L ^ V ^ O. ^ c. ^ ^y2.jjO-^ /'v p - f , j. >r -^v AJA^ aJ^rJ 'L t^dUj w --j *v'- Ca A-^clm,<r C ^ J-cL J^j ^ J>LSa J <-/'< , c- ` T 6X / * ^-> ' -//A A * cx^ ~ c'y/-J/'J'-c'^cy ' ^ 1-t-<r-A^a^-~-. V a u J >^ - ^ / / ' - c ' r n ' y yyv v c U- (. - \Oc 9fc :c - s ^ s 1 Oc- CS--6 FB054112 > 6.. L ( 5- C c ( . - ,u r ~ i -- /- 7 ^ ' 6 /C ~) r es.. O L ->v 'X u ^ ,7 a u. ^ < y Z < .. -/ L.<.w'-*<C * (s-j?'M( FB054113 May 26, 1965 t. i - C RECEIVED AV -'S 1965 CORPORATE INS. DEPT. STATE * < .* 6 0 C O M P E N S A T IO N INSURANCE FUND A02967 Allen Everitt Industrial Accident Commission Roon 2000j State Building 1111 Jackson Street Oakland, California Re: Allen Everitt vs. Western Asbestos Company and State Compensation Insurance Fund, et al; I.A.C. 63 OAK 11139 Gentlemen: It is respectfully requested that the aforementioned case be set for hearing to determine what, if any, apportionment defendants, Western Asbestos Company and State Compensation Insurance Fund, are entitled to from the other defendants to th aforcmontionod aotion. Attorney c - Smith, Parrish, Paduck & Clancy Financial Center Building Oakland 12, California c - Henry G. Sanford 714 Hobart Building San Francisco, California FB054114 2 Industrial Accident Commission May 26, 1965 c - Sedgwick, Detert, Woran & Arnold 100 Bush Street, San Francisco c - Hanna & Brophy 1540 San Pablo, Oakland c - Armstrong Cork Co. Liberty & Charlotte Sts. Lancaster, Penn. c - Armstrong Contracting & Supply Corp., 120 N. Lime Street Lancaster, Penn. c - Charles Ayres Co. 374 Brannan Street, San Francisco 7, Calif. c - Charles Ayres Supply Co., Inc. 698 Minnesota Street San Francisco 7, Calif. c - The E. J. Bartells Co. 1212 Sixth Ave., S., Seattle 4 c - C . F . Braun & Co. 1000 S. Fremont Ave. Alhambra, Calif. c - The Philip Cary Mfg. Co. Lockland, Cincinnati 15, Ohio c - Thomas C. Douglass Jr. Douglass Insulation Co. 2233 Ingalls Street San Francisco 24, Calif. c - Fibreboard Paper Products Corp.i 1789 Montgomery Street San Francisco 11, Calif. c - Fluor Maintenance, Inc. P. 0. Box 791, ^06 Ward St. Martinez, California c - Fluor Maintenance, Inc. Box 7030, 2500 E . Washington E. Los Angeles 22, Calif. c - Insulation & Asbestos Ind. Works of N. Cal. Vac. Trust Fund Local No. 1 6 , 200 Guernero St. San Francisco 3, Calif. c - Harold G. Lorentzen Lorentzen Company 1155 Fifth Street Oakland, California c - Mundet Cork Corp. 2101 Tonnelle Ave. N. Bergen, New Jersey c - Owens Corning Fiberglas International F.S. Subsidiary of Owens Coming Fiberglas Corp. P. 0. Box 901 Toledo 1, Ohio c - Plant Asbestos Co. 1300 - 64th Street Emeryville Oakland 8 , Calif. c - Thorpe Insulation Co. 2741 S. Yates Ave. Los Angeles 22, Calif. c - Standard Accident Ins. Co. 433 Calif. St., San Francisco, Calif. c - Employers Mutual Liability insurance Co. of wis. 114 Sansome Street San Francisco 4, Calif. c - Travelers Insurance Co. 1956 Webster St. Oakland 12, California. c - Industrial Indemnity Co. 350 Sansome Street San Francisco, Calif. c - Argonaut Insurance Co. 550 California Street San Francisco, Calif. FB054115 - 3- Industrial Accident Commission c - American Motorists Ins. Co. 417 Montgomery S t. San Francisco 4, Calif. c - General Accident Fire & Life Insurance Corp. Ltd. 600 California St. San Francisco, Calif. c - United States Fidelity S: Guarantee Co. 444 California St. San Francisco, Calif. c - Associated Indemnity Corp. 332 Pine Street San Francisco, Calif. c - Continental Casualty Co. 433 California St. San Francisco, Calif. c - Aetna Casualty & Surety Co. 1330 Broadway Oakland, Calif. c - American Employers* Insurance Co. Russ Building San Francisco, Calif. May 26, 1965 FB054116 I * 4 tv"-:-'-- i'< hguimce STATE '. i, i t FUND A02?r? **rr. Ascescos Romany &r.i i z ~':e S ' t Fund; I.A.C. cj. OAK 11*3- be. .r :: *r r- .rrar . :^ ?.. T. Head. Superintendent. Under rr.ia Inspection Ratine* Bureau, signed Fee rue ry 27, 196**. tr.lc ret-, rt r.i* beer, mailed tc si. parties listeo truly ycurs. :-.--rles M . KcMi Mar. k\\cm e y E~'. n, Farri.c;\. Pact: , a Clancy, Attorneys at Law, 315 .ai Cer,ie- >; :ding . Oakland 12, California i lasja r - *.'.d 5..re:y Company, 1330 Broadway, Oakland, '1 m i s M.. Err.t . :y*r ' Insurance Company. Busa Building, s~ :::i:-m 1a .7. :car.- - J-.s-ranee Company. 417 Montgomery Street, :ar.ee 1' c=rrr.' rp . ?**' Pine Street, San Francisco, FB0541tf1 : : , 196* v Compensation Insurance Fund Industrial Accident Conwisslon Continental Casualty Company, 433 California Street, St-r. tranci see, California Pibreboard Paper Products Corp., 1"TS Montgomery Street, San Francisco 11, California Fireman's Puna Insurance Company, 3333 California Street, Sar Francisco, California F'uor Maintenance. Inc., P. 0. Box 791, *06 Ward Street, Martinez, Cali^cmia General Acriaen: Fire ara Life Insurance Corp., Ltd., -_j. Cilifcrr. Strf . Sar Franc 3see , California Zr.?; :*:ion a\:i A?: ^*,-s Industrial Works of Northern C-iifernic. Ve:-' Trust Fund Local No. 16, ? X Guerriere I::>: : , Sir Fri': :1s c . Californie rre Insui't Cciroany . A corpora: on , 37*1 Soutn Tates Acervje, Les Ang les el, California United States Fidelity and Guarantee Company, 120 Montgomery Street, San Francisco, California Argonaut Insurance Company, 550 California Straat, San Prancisco, California Employers Mutual Liability Insurance Company of Wisconsin, 11* Sansome Street, San Francisco *, California Industrial Inder.-.! ty Company, 350 Sansome Street, S^n Francisco, California Standard Accident Insurance Company, *33 California Street, San Francisco, California Travelers Insurance Company, 1956 Webster Street, Oakland 13, California raosLisf s C A L IF O R i A INSPECTION RATH \*Y> M l . v . . \ > 7 k L L T SAN F R A N C S w C.V.;i*ORN!A S BUREAU u. ivm:n:\ *.i.. ii,\v >:y l .u. nnorMiN ACTIAMV 'ebruary l7 , .96- ri i *nout:> nt ATTENTION * 11.e e ctate Ccr.znation _r.surate e r..; 33^0 Or&r.i Averse Gau.a.'.d -- , Ctuiioruia Attention: Charles ViS-.i?" A35BSTCS CO., et al Your ?ile Sc. AC2967 McMillan Gentler.en: This acknowledges receipt of your January 7, 19=4 letter re questing V.'orkraen1s Compensation coverage information for the below list en entities. Ole Bureau wishes to apologise for the lengthy delay ir. answer* ing your request but certain files ;.ad zo be located. Coverage in fo me.tier, ie t J follow s : ' Armstrong Cork Company Standard Accident Ir.s. Cc., Policy So. A Z 718480, 1-1-51/52 . Armstrong Contracting & Supply Corp. Travelers Insurance Co., Policy No. PUB 7226992, 1-1-58/59 " " R 'JB 7595409, 1-1-59/60 ,, Charles Ayers Co. - No records. Charles Ayers Supply Co., Inc. - No records. Tee B. J. Bartells Company Emplys. Mut. Liab. " Ins. Co., Policy No. " 2312-02-025772, 2313-02-025772, 1-1-61/62 1-1-62/63 i C. 7. Braun 1 Co., A Corp. American Motor. Ins. Co., Policy No. 7CM 426012, 1-1-57/58 " " 8CM 426012, 1-1-58/55 j The Philip Cary Kfg. No records prior to l-l-p?- FB054119 RECEIVED FEB 19 OAK LEGAL' I* va -c 7.5 * . 'HO. Cailand 1C, California r c o r u t r / 17, lo- General Ft--e Page No. 2 Couglass Insolation Co. - No records. Fiberboard Paper Products Coro. - Self Assured. F l u o r y .a ir .-w r.ar.ce , Ir.c. Continental Casualty Co., Pol Maintenance, -nc. .or. ^asua-*/ C c ., Pci: tion U Asbestos Industry Worns of C. Lorentzer., Lorentzer. Cc. Industrial Indemnity Co., Pol: " " " " " " CC 100019, 1-1-5C/57 CC 600009, l-l-p7/5c CC 60005^, 1 - 1 - 59/00 ^ Xundet Cor/. Corp. Aetna Cas. & Surety Co., Policy No. 1655-6-7, 12-31-51/52 1C 23^13 PT, 12-31-oO/bl " " 1C 33764 PT, 12-31-61/7-1-62 Ovens C o m i n g Piberglas Aetna Cas. & Surety " " " " Co., policy " " " " Nc. 31c 733 RR, 9- 1- 51/55 31C 7S!r PS 9-1-55/56 31c 875 nn ?r, 9-1 -57/53 31c 926 RR f t , 9-1 -56/59 3 1c 965 RR FT, 9-1-59/60 2C 2951 RR FT, 5-1-oO/cl Plant Asbestos Co. Ivo records prior to 10-1-39 Industrial Indemnity Cc., Policy No. 501 CP 005^6, 1-1-55/56 CP 10065^, 1-1-56/57 CP 608056, 1-1-59/60 cc 600091, 1-1-60/61 CC 61115**, 1-1-61/62 CC 6115*+, 1-1-61/62 *' Thorpe Insulation Co. Fireman's Fund Ins. Co., Policy No. WCP 3501, 10-1-5^/55 FB0541ii0 received FES 10 OAK LEGAL State compensation insurance rund Oakland 10, California February 17, General File Page No. 3 19 6 ^ m UW^Aj, '2- ly Cocpsuty - No r e c o r d ; . Very tr-ly ysure, T. Feac, Superintendent Undervriting Oeparcaect SB: iikp By Sei&ran U J FB054121 KECEIV FE3 l(J 1564 OAK LEGAL f~.r< I n d u s t r i a l A c c id e n t Co.-: i s s i o n 1111 Jackson Street Oakland, California 'cntlemen We h?ve received a co..-y of the ? :.nd Inrurance Carriers in tue cr applicet.'5nn hes been /eceivrri : rswer. ... 1 '. . ' -to -i t:ie The petition of thr State Cor.\~n.-. .; -r. Inru r.rc Fun.: -ind '..'estv-r. Astvstos Conpeny alleges that tk - "v. v :\ ~ i Corporation was the carrier for the Fluor ' ji '. * " C -, r.r. in 1955 revi'.v/ of our records indicates that any *'* -.c.d for Fluor '<v.n- ten.^nce ceased on April 25, 1953 Associated Im'-mnity Corporation : i.J no* jo ned in this action. Verp -1 GS:ki i.-eor q .-vis r r Co- r otisn I AM4t>C4 I^V/tANlO CO**AN NfWAJI IH i AMfftCAN IN l ( l $ l * t* |*HtNSylANCt C0m amv N IW A II o M P lU rt iFi^OHANU 1-80 5412 2 . CC'**AN V cc,o**,,o* S*n UN OSCO Str.nc.'vr; Accident Insurance Cor.jvry <53- California Street San Francisco, California F.-nrO'-'-: tz * -ility Insurance co. of Wisconsin ilA nsrr/ Str .et ".r Francisco, California Trr.vei'.rs Inrursrcc Co. 195') `-'cbster Str et Qakland 1Z, California Cencral Accident rire and Life* Insurance Corp.i Ltd. 600 California Stre-t San Francisco, California United States Fidelity & "ucrantee Company /?<.- A M California Street & n Francisco, Califor-ia *. Continental Casualty Co. A33 California Street San Francisco, California Aetna Casualty and Surety Co. 1330 Broadway Ctiklan-, California State Compensation Insurance Fund 5 o Cicl^'-n "ate Avenue San Francisco 1, California Flr.o** *>ir.te:.r.nce Inc. 0. 'i 791 :.Cv : oreet rVr. r;t Cr.lifor ia -..u1. If `.ne Cj ' r.y 'I ' 1; Zzr - j:.r. ; v..KivV , Cr.liii.-.-iia c -v/ists T.nsur? ne- Cmpa; U V c" t St- t '.* nrir L, Califorria en* !i:f* ' 3* r. r e: ver: I iv. f ; c CO ifomit Fire.'/an's Fun.i In; ur nce Cor.,.ay 3113 CaliJ'orrit Str-et San Francisco, Cajifornia i: , i.rr.s -, Pcduk m e Cian-:y /.t .orr yr. :.i L"w 513 rina:.ri.* 1 Conter 'Juilcin^ Uiianu 121 Cilifornia ri'orebo* rd !aper Products ' 17P9 1 onb;.9-cry Street San Francisco, California FB0541^3 'e o ru a ry IL , 19L1. Industrial `ccldonl f.emission 1111 Jackson Strict Oakland, rolifornia Allen ?.. -veritt Industrial Accident Conniesion Ca m No. 63 OAK 1 U 3 9 Gentleaens We have received a eor>y of the Petition to Join Additional Employers and Inaurano Carriers, together with the Social Security record of Allen n. Everitt, Induetrial \ccident Commission Caee Ho. 63 GAI III39, but have not reoeived a copy of the application. ;Je are, therefore, unable to file an Answer. In any event, the Social Security records abov earnings paid by us aa amounting to only 160*00. He submit that the application should be dismissed as de minimi in so far as thia coooany la concerned. i Very truly youre, FITCBOADD PASP ? TW D CT5 CCPPCfUTlCH PSial cct D. Haneon, Manager noloyee Inaurano Department Standard Aeclhent Insurance Ccmpaoy 133 California Street San Francisco, California Industrial Indemnity Co. 350 Sinsose Street San Frarclaoo, California Employers Mutual Liability Inaurano Co. of Wis. Uii Sanscme Street San Francisco, California Traveler Insurance Co. 1956 WebsUr Street Oakland 12, California Argonaut Insurance Co. 550 California Street San Franoleeo* CalIfmia American HcteHto Ineuranee Company LIT Moctgoaaery Street San Franeieee 1, Califamia General ccid ent ::lr e -ne L ife Inr'xnrea C o r-. , l i , 6X) California Street ^an Francisco, C^lforrd* United States r:JoUt7 & Guarantee ^* '* n y 1M California Street Sa/) Francisco, Cali Coma Associated I<Ue;u.itj C'.-r*. 332 Fine "tros*. Sah Francisco, California Continental Casualty Co, 133 California ct m t can Francisco, California Aetna Casualty and Surety Company 1330 Broadway Oakland, California Araorican Snrloyoro Insu-ance Cacmany uas Building San F ra n c isc o , C U C onL* Fl.'enan'o Tond Insurance rocnnny 3333 California Strent San Francisco, California Smith, Parrish, Paduk and Clancy Attorneys at U v 315 F ln an elal Center Building Oakland 1 2 , C a lifo r n ia ***. cimm* IT'WOM 41, M*l**D departm ent of h e a l t h ,e d u c a t i o n ,a n d w e l f a r e SOCIAL SECL/PITV A D MINISTRATION Stete Condensation IxisurLr.ce Fund 525 Golden Gate Avenue San Francisco 1, California Attention: Mr. David S. Blcocsoa Clains Adjuster nwrw-;l- ':J- v,.-JTJ1 s mtcmre. 'u n o lk:PC?:FC Account Ilo. 503*03-5111 A, R. Everitt Tour reference: A0297 Allen Everitt *. . !*D`V EMP*OvEE INSURANCE Gentlemens Mr. Allen K. Everitt, social security number 503-03-5111, has authorized us to send you the detailed Infonaatiou ram his earn ings record for the period January 1, 1937, through March 31, 1963. Employa? Mama z:.- .'.dress Period Ended Amount vJohr. Morrell and Co. Ottura, loua 6/30/37 < $ 17li.il ^Fenile Brothers, Inc. 117-119 S. Phillips Ave. ^ Sioux Falls, South Dakota ^ JFantle Brothers, Inc. ^Chicago Bridge and Iron Co. (/ 1305 W. 105th St. Chicago, Illinois ^ Parker Transfer and Storage /, .W. Parker J y 221 S. First Ave. / Sioux Falls, South Dakota 02/31/38 * 3/31/39 9/30/11 12/31/Ul < $ 72.00 $ 75.00 $ 175.20 9.35 / Charles B. Bue / ,, Rue Contracting Co. \ ^ 515 liith St., N, 1 ^ Fargo, North Dakota y , ^Walter Butler Co. V Athol, Idaho ' 9/30/12 v $ 107.56 9/30/2*2/ kCLVl'J :-:!j7 2 - 1 i`i.2~2n V' 1ro**i1 21I4..20 FB05426 Employer Kane and Address ' Enterprise Engine v 1 / and Foundry Co, 600 Florida St. San Francisco, California . Northwestern Engineering Co. s. Rapid City, South Dakota Moore, Roberts, Freetly N. Carrico and Gautier Maine and VJasboe Sts. Richmond, California ; Kaiser Alurda; and Chrncal Corp. --x c/o G. F, Fennington 192L Broadway Kaiser Bldg. Oakland 12, California / v Daniels and Turnquist 6CL Orpheura Bldg, Seattle, Washington y Kaiser Aluninum a n d Chftjrdeal C o rp. c/o G. F. Fennington Ernest and Kaiser and Assoc. / Joint Venture l> 8825 Olympic Blvd. Beverly Hills, California ^Kaiser Aluminum and Cheaioal Corp* t c/o G. F. Fennington J Sioux Falla Mechino Works / 2 1 k N. Dakota Ave. > > Sioux Falls, South Dakota '''Package Delivery Co. v v l a o e , 12th st, \y Sioux Falls, South Dakota Period Ended 9/30/12 y 9/30/L2 s 9/30/12. v 9/30/1212/31/12v 9/yo/b2-j 3/31A O / 6/30/L3 v 6/30/13< 9/30/U' 12/31/U*^ 6/30/Uh 6/30/Ut l 2 Amount $ la.oo 2M 7.91 nli.95 8 0 0 .8J 32.38 $ 853.23 61.11 192.19 $ 582.00 890.22 33.25 121.63 '*'v\zj]-L CD FB054127 K i Employer Nane and Address ' 1 Kaiser Aluraimra \ /' end Chemical Corp. c/o G. F, Fennington . 'Western Asbestos Co. C s Bsx 37SL * Eineon /jlix San Francisco 19, California N, Western Asbestos Co. 'Fibreboard Paper Products Corp. 1759 Montgomery St. K-' San Francisco 11, California sy '.'estera Asbestos Co. 'vj J Western Asbestos Co. J ^ Western Asbestos Co. > Western Asbestos Co. i ^Armstrong Corlc Co. sj / Liberty and Charlotte Sta. > Lancaster, Pennsylvania * Charles Ayrea s Charles Ayres Co. y 371* Brannan St. San Francisco 7, California c--? J , ^Western Asbestos Co* r Period Ended 3/31A5 1 6/30A5 ' 9/30A5 . 6/30A 61 9/30/U6 ,, 6/30A7, 9/30A7 r 12/3XA7 y 12/31/k-t 3/31/L8 ' 6/30A8 9/30A8 ' 12/31A8J 3/31A9 ' 6/30A? " 9/30/L9 9/30/50i 12/31/50 1 3/31/51J 6/30/51v 9/30/51 ' 9/30/5 1 / 12/31/51 / 12/31/51/ 6/30/52 y 9/30/52 / 12/31/52 x 3 Anotuvt $ 798.06 eii.20 316.80 $ 138.60 761.18 $ 922.20 9U*.00 916.65 80.00 $ 932.70 760.00 992.16 315. li* $ 51.C3 1,110.21 1*51*. 91* $ 91*3.75 1,120.00 $ 825.00 1,061*. 01* 1*36.8? 589.31* 31*1.22 1*27.82 $ 1,295.09 1,1*55.33 81*9.58 -/ >? 1SS3 ~TF0542S^ Employer Name and Address . y- , A / * Plnt Abeto# Co, / ^ 1300 61*th St. Emeryville 8, California * Charles Ayres Supply Co., Inc. i W 698 Minnesota St. "+ San Francisco 7, California y Mundet Cork Corp. ^ ap .2101 Tonnelle Are. y ' North Bergen, New Jersey : Western Asbestos Co. .is 4 _j_ V Western Asbestos Co. J 'j. i/Westem Asbestos Co. r/ ^ Plant Asbestos Co. 0. ./Charles Ayres Co. 698 Minnesota St. " 1/ San Francisco 7, California * Fluor Maintenance Inc. . F. 0. Box 791 v y 1*06 Ward St. S Martin*, Californie ,, /Harold C. Lorentier* v1 . '/Loreatsen Co. i y 1155 Fifth St. / Oakland, California JThorpe Insolation Co. A Corp. $ s . tM Ave. 'S Loo Angeles 22 , C a lifo rn ia Period Ended 3/3V52 x 3/31/52 / 3/31/52 * 3/31/53 ' 6/30/53 > 9/30/53 ' 3/31/5U*6/30/51' 9/30/51/ 3/31/55 x 6/30/55v 6/30/55v 6/30/55 < 12/31/55 j 9/30/55 ^ 9/30/55 12/31/55V 9/30/551- 1* Amount $ 1*22.01 289.52 325.72 $ 1,261.50 1,661*.10 673.90 * 1,378.60 1,1*82.30 739.10 $ 1,1*71.05 176.1*0 100.80 529.20 50.80 126.00 21*7.66 1*29.80 208.00 FB054129 Employer Name and Address ' Arens Corning Fiberglas V International 7. S. Subsidiary v y/ of Ovens r Corning Fiberglas Corp. P. 0. Box 901 Toledo 1, Ohio ,l;JTbos. C. Douglass, Jr. IV Douglass Insulation Co, 'f- / 2233 Ingalls St. San Francisco 21*, California j/-Plant Asbestos Co. nO /Harold 0. Lorentzen --j. Lorentzen Co. A 'Ovens Coming Fiberglas J vJV International F. S. Subsidiary * <r of Ovens Coming Fiberglas Cozp. v Insulation and Asbestos ,,4, , Industry Works -/ of North Califoral Vacation Trust Fuad Leoal No. 16 200 Ouemaro St. San Francisco 3, California 4 The Philip CaryMfg. Co, 4 W Lockland Cincinnati 1$, Ctdo Weatern Asbestos Co. Harold 0. Lorentsan Lorantsan Co. Period Ended 9/30/55 V 9/30/55 / 3/31/56i 6/30/569/30/5612/31/56. 12/31/56 i 3/30/56v 9/30/56/ 12/31/56 v 3/31/57* 6/30/57 * 9/30/57/ 12/31/57V 3/31/57 * 5 Amount $ 1*15.80 330.20 $ 298.1*5 1 ,600.20 1,773.90 373.35 lUi.lO 203.20 52.50 71*0.15 * 13U.00 1,670.26 1,226.20 969.1*0 936.66 FB054130 Employer Name and Address Period Ended v C. F. Braun and Co. v^1 A Corp. / 1000 S. Fremont Ava. Alhambra, California J Ftiillip Need and Shirley Vialaan >'S / Industrial Insulation Co. > " 11835 Warner Cupertino, California 12/31/57/ 3/31/57^ S Western Asbestoa Co. 6/30/58/ ^ ^Charles Ayres Co. 9/30/58 si 12/31/58 * OD OD .n^Ovane Corning Fiberglae / International F. S. Subsidiary *' of Cwens Coming Fiberglae Corp. . j j \ y C. F. Braun and Co. 1 A Corp. 3/31/58* 6/30/58; < Insulator and Aabestoa Industry vl of North California vy ' / and Local Union Ho. Id r ' Vacation Flan 1 200 Guerrero St. San Franclaoo, California 9/30/58/ / Armstrong Contracting r and Supply Corp. S 120 N. Lima St. Lancaster, Pennsylvania J - ./'Fluor Maintenance Inc. , V Box 7030 ' ^ 2500 S. Washington East Los Angeles 22, California 12/31/56 v 12/31/58/ ^ ^^Waatera Asbestos Co. / ^ ^P/Oent Aabestoa Co. 3/31/59/ 6/30/59/ 9/30/59/ 9/30/59 i 6 Amount 551.80 85.15 $ 273.60 L38.90 390.00 152.00 1.3L8.80 1,807.30 1,197.00 ioe.7 0 2iL8.00 256.6L 8 1,501.75 2,052.65 281.93 10.60 FB05413X Enployr Kam and Address j Rarold O. Lorantaan r 1/ Lorant* Co. ' Cfcreos Corning Fiberglas . />/ International F. S. SBbsldiai7 r 1/ 01 Owens Corning Fiberglas Corp. ^ llrmstrong Contracting 7" and Suppig Corp. -j. Western Aabeatoa Co. $ //Plant Aebesto Co. 'Ofens Corning Fiberglas j International F. S. Sabaldlary *y 0r cwens v Corning Fiberglas Corp, 1Armstrong Contracting and Sapply Corp. /Wa. Thomas Tack . 5'7,Tack,s Sapply Co. X 1/ 1*69 Sanshlne Lena Eano, Serdt ^ ^j^Western Aabsatoa Co. Psrlod Ended 3/31/59' 15/31^9 / 12/31/59/ 3/31/60y 6/30/605 9/30/60s 12/31/60-*. 12/31/60/ 9/30/60 A 3/31/60< 9/30/60 / Plant Aabeatoa Co. Y *2"* Mandat Cork Corp. J -'The X. J. Bartalla Co. 4 .1212 Sixti Are., S. 1 Seattlo 1, Washington ^ Weatora Aabastoa Co. 9/30/6 1/ 12/31/61/ 6/30/61-i 9/30/61 s. Anonnt $ 160.00 1,637.25 336.00 $ 1,570.90 2,089.35 103.20 53I.00 1,679.20 1,121.20 1*70,1*0 17l*.72 $ 2,135.1*0 1,587.05 1,077.55 291.20 113.52 1*00.1*0 182.00 $ 1,708.25 1,857.68 i,23l.crr / /y ||| FB05413g ^ Employer Mams aad Addr+ea ^ Period Boded a Amount ^ J^Flant Asbestos Co. 57 J ^ Kundet Cork Corp. 9/30/62 - y /n /a U $ 309.12 & 0 .5 6 . *7/ The E. J. Bartells Co. 6/30/62 b 71k.S k * y ^ V o a X o m Asbestos Co. 3/31/63 v' $ 1,676.66 Wo hare no rooord of any othor ear&laga for the period la whioh Mr. Breritt ia interested. Workers began to acquire social security credit# beginning 1937; therefore, ve hare no rooord of osgr earnInga for 1536. Our records do not show the amount of earnings la each quarter of 1937 beoause sqployers were required to file reports on3y tvioe that rear. Aar earnings earned after Karoh 31, 1963, hare not been Included. Earnings are not usually posted to oar records for et lesst 6 months after the period la whioh tbs report Is filed hr the e^loyer. This much time la aseded to reoelTe aad post the wage reports. Siacersly Tours, Chief KC7 193 tr^M FB0S413a BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OP THE STATE OP CALIFORNIA CLAIM NO. 63 OAK 11139 ALLEN EVERITT, Applicant, vs. WESTERN ASBESTOS COMPANY and STATE COMPENSATION INSURANCE FUND, Defendants.*12 VP' D*EE INS PETITION TO JOIN ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS TO THE INDUSTRIAL ACCIDENT COMMISSION OP THE STATE OP CALIFORNIA, PANEL ONE: Defendants Western Asbestos Company and State Compensation Insurance Fund petition this Commission for an order directing that additional defendants be Joined In this matter because: 1. Applicant, Allen Everltt, alleges that In the period beginning 1946 and continuing through 19 6 3 he developed an occupational disease arising out of and In the course of his employment; 2. Applicant was In the employ of defendant Western Asbestos Company for parts of the following quarters: 6/30/46 9/30/46 6/30/47 9/30/47 12/31/47 3/31/48 6/30/48 9/30/48 12/31/48 1/31/49 '/30/49 9/30/49 9/30/50 12/31/50 3/31/51 6/30/51 9/30/51 6/30/52 9/30/52 12/31/52 3/31/53 and for no other time; 6/30/54 9/30/54 3/31/55 6/30/55 3/31/57 6/30/57 9/30/57 12/31/57 6/30/58 9/30/60 12/31/60 9/30/62 FB054134 X 3. Defendants Western Asbestos Company and State 2 Compensation Insurance Fund allege that all or part of appli 3 cant's alleged occupational disease. If shown to have been 4 the result of industrial causation, arose out of and in the 5 course of employment for employers other than defendant 6 Western Asbestos Company, and was wholly or partially con 7 tracted In the period beginning 19^*6 and continuing through 8 1963; 9 A. Defendants Western Aabestos and State 10 Compensation Insurance Fund allege that applicant was employed 11 by the following employers insured by the carriers Indicated 12 as follows; 13 EMPLOYER 14 INSURANCE CAKHIER QUARTER iS a Armstrong Cork Co, Standard Accident Liberty & CharlottaSte. Insurance Company 16 Lancaster, Penn. ^33 California Street San Francisco, Calif, 17 and Employers Mutual Liability 18 Insurance Co. of Wls. 11A Sansome Street 19 San Francisco Calif, 9/30/51 12/31/51 20 * Armstrong Contracting and Supply Corp. 21 120 N. Lime Street Lancaster, Penn. Travelers Inaurance Co. 1956 Webster Street Oakland 12, California 12/31/58 12/31/59 3/31/60 22 ''Charles Ayres Co. 23 37^ Brannan Street San Francisco 7, Cal. 24 25 Industrial Indemnity Co. 35 Sansome Street San Francisco, Calif. and Argonaut Insurance Co. 550 California Street San Francisco, Calif. 12/31/51 9/30/58 12/31/58 26 Charles Ayres Supply . Industrial Indemnity Co, 27 Company, Inc. ''35 Sansome Street 698 Minnesota Street San Francisco, Calif. 28 San Francisco 7, Cal. and Argonaut Insurance Co. 29 550 California Street San Francisco, Calif. 3/3!/52 6/30/55 12/31/55 30 The E. J. Bartells Co. Employers Mutual Liability 31 1212 Sixth Ave., S. Seattle U , Wash. Insurance Co. of Wls. , 111 Sansome Street 32 . San Francisco 4, Calif, 6/30/61 9/30/61 - 2 FB054135 C 1 EMPLOYER INSURANCE CARRIER QUARTER 2 j' C . F. Braun Company, American Motorists 3 A Corporation Insurance Company 1000 S. Fremont Ave. 417 Montgomery Street 4 Alhambra, California San Francisco 4, Calif. 12/31/57 3/ 31/58 6/ 30/58 5 * The Philip Cary Manufacturing Co. 8 LocKland. Cincinnati 15, Ohio 7 General Accident Fire and Life Insurance Corp., Ltd. 600 California Street San Francisco, Calif. 12/ 3 1/5 6 8 Thomas C. Douglass, Jr. United States Fidelity & Douglass Insulation Co. Guarantee Company 2233 Ingalls Street kkU California Street * San Francisco 2*4, Cal. San Francisco, Calif. 10 f*Flbreboard Paper Self-insured 11 ' 178P9roMduocnttsgomCeorrpy. Street 12 San Francisco 11, Cal. 9/30/55 12 /3 1/ ^ 7 13 '-Fluor Maintenance, Inc. Associated Indemnity Corp. P. 0. Box 791 332 Pine Street 14 1*06 Ward Street San Francisco, California Martinez, California 15 ^Fluor Maintenance, Inc. Continental Casualty Co. 18 Box 7030 433 California Street 2500 E. Washington San Francisco, California 17 E. Los Angeles 22, Cal. 18 * Insulation & Asbestos Ind. Works of N. Cal. 19 Vac. Trust Fund Local No. lo 20 200 Guernero Street San Francisco 3, Cal. 21 Harold G. Lorentzen 22 Lorentzen Company 1155 Fifth Street 23 Oakland, California Industrial Indemnity Co. 350 Sansome Street San Francisco, California 24 *Mundet Cork Corp. 25 2101 Tonnelle Ave. N. Bergen, New Jersey 28 ir Owens Corning 27 Fiberglas 28 . International F. S. Subsidiary of Owens 29 CCoorrpn.ing Fiberglas 30 TP.ole0.doBo1,x 9OhOiIo 31 Aetna Casualty and Surety Company 1330 3roadway Oakland, California Aetna Casualty and Surety Company 1330 Broadway Oakland, California 9/30/55 12/31/58 9/30/56 9/30/58 9/30/55 12/31/55 12/31/56 3/3 1 / 5 7 3/31/59 3/3 1 / 5 2 12/31/61 3/ 3 1/6 2 9/30/55 3/30/56 6/30/58 9/ 30/58 12/31/59 9/30/60 32 - 3 - FB0541J6 1 EMPLOYES INSURANCE CARRIER s Plant Asbestos Co. 3 I3 CO - Ath Street EmeryJ vVailXl*eC 4 Oakland 8. Callf. S e 7 Industrial Indemnity Co. 350 Sar.some Street San Francisco, California and American Employers' Insurance Company Russ Building San Francisco, Calif. 9/30/61 9/30/02 8 Thorpe Insulation Co. A Corporation 9 27^1 S. Yates Ave. Los Angeles 22, Callf. 10 Jr/P<J * 9/30/55 11 5. Defendants western Asbestos company and State 12 Compensation Insurance Fund attach herewith as part of this 13 petition a copy of the report of the Department of Health, 14 Education, and Welfare, Social Security Administration, 15 signed by Robert M. Mayne, Chief, that pertains to Mr. Allen 16 Sveritt's employment during the aforementioned time. 17 WHEREFORE, defendants Western Asbestos Company and 18 State Compensation Insurance Fund respectfully pray that an 19 order issue directing that the aforementioned employers and 20 insurance carriers be Joined as defendants in this matter, 21 and granting all other and further relief that may be necessary 22 and proper. 23 24 Dated: January 20, 19^ 25 26 CHARLES M. McNILIaFT 27 Attorney for Defendants: 28 Western Asbestos Company State Compensation Insurance Fund 29 30 31 32 - FB054137 ! i} 1 (PROOF OF SERVICE 3Y MAIL-i 013a, 2015.3 C.C.PJ STATE OP CALIFORNIA).. COUNTY 0? ALAMEDA )55 3 : .1 I am a resident of the United States and a resident of the 4 : aforesaid county; I am over the age of eighteen years and : not a party to the within above action; ny business address 5 !i is; 33^0 Grand Avenue, Oakland 10, California 6 ; On January - 196A, I served the within PETITION TO JOIN 7 ] ADDITIONAL EMPLOYERS AND INSURANCE CARRIERS on the various 8 il 9i 10 i XI |j 12 parties in said action, by placing a true copy thereof en closed in a sealed envelope with postage thereon fully pre paid, in the United States post office mall box at Elwood and Grand Avenues In Oakland, California, addressed as follows 13 Armstrong Cork Company, Liberty and Charlotte Streets, Lancaster, Pennsylvania 14 Standard Accident Insurance Company, 133 California Street, San Francisco, California 15 I 16 j Emoloyers Mutual Liability Insurance Company of Wisconsin, iiA Sansone Street, san rrancisco A, California Armstrong Contracting and Supply Corporation, 120 North Lime Street, Lancaster, Pennsylvania 17 .= Travelers Insurance Company, 195 Webster Street, Oakland 12, California 18 Charles Ayres Company, 37A Brannan Street, San Francisco 7, California 19 ? Industrial Indemnity Company, 350 Sansone Street, San Francisco California 20 Argonaut Insurance Company, 550 California Street, San Francisco, California 21 Charles Ayres Supply Company, Inc., 698 iMlnnesota Street, San Francisco 7, California The E. J. Bartells Company, 1212 Sixth Avenue, South Seattle A, Washington 23 C. F. Braun and Company, A Corporation, 1000 South Fremont Avenue, Alhambra, California 24 American Motorists Insurance Company, A17 Montgomery Street, San Francisco A, California 25 The Philip Cary Manufacturing Company, Dockland, Cincinnati 15, Ohio 26 General Accident Fire and Life Insurance Corporation, Ltd., 600 California Street, San Francisco, California 27 Thomas C. Douglass, Jr., Douglass Insulation Company, 2233 Ingalls Street, San Francisco 2A, California * 28 United States Fidelity and Guarantee Company, AAA California /Street, San Francisco, California 29 Flbreboard Paper Products Corporation, 1789 Montgomery Street, San Francisco 11, California 30 !l Fluor Maintenance, Inc., P. 0. Box 791, A06 Ward Street, ! Martinez, California 31 ij Associated Indemnity Corporation, 332 Pine Street, San Francisco, California 32 ij !t FB05413S 1 Fluor Mslnter.ar.ee, Ire., Box 7C33, 2300 East Washington Street, East Los Angeles 22, California 2 Continental Casualty Company, ^33 California Street, i San Francisco, California 3 Insulation and Asbestos Industry Works of North California, ; Vacation Trust Fund Local No. 16, 200 Guernero Street, \ 4 S3r. Francisco 3, Califorhia i Harold G. Lorentzen, Lorer.tzen Company, 1155 Fifth Street, j 5 Oakland,- California Mundet Cork Corporation, 2101 Tonnelle Avenue, North Bergen, i 6 New Jersey . Aetna Casualty and Surety Company, 1330 3roadway, Oakland, | 7 Cell Tornla j Owens Corning Fiberglas, International F.S.Subsidiary of | 8 Owens, Corning Fiberglas Corporation, P. 0. Box 901, Toledo 1, Ohio 9 Plant Asbestos Company, 1300 - 6**th Street, Emeryville, Oakland 8, California | 10 American Employers' Insurance Company, RussBuilding, I San Francisco, California 11 Thorpe Insulation Company, A Corporation, 27^1 South Yates Avenue, Los Angeles 22, California ; 12 13 I certify, under penalty of perjury,* that the foregoing ic 14 true and correct. 15 Executed on January- ,'"T964, at Oakland, California 16 17 Jeanie LT P.ucVe : 18 19 c - Smith, Parrish, Paauck ana Clancy Attorneys at Law 20 315 Financial Center Building Oakland 12, California 21 22 23 24 25 26 27 28 29 30 31 The proof of service by mall form, being signed under penalty of perjury, does not require notarization. 32 FB054139 - - 4 4 a 43>s________ _______ ______ --- 1 jr_ P V' ". 1 ________ i ,r _ > .z > x - i ^ c 3> 2 l __. U'qSZ. } -r- ________ ____ ___________________ `T -- i ... o.i L ____________ : ________________ l-.i.'-Wi" L - I v -m s *- /< JW |m __/V 'J - o -|U* / J r- M ^ i * /.V*. 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Lo I n' uu i ;A >!5 H yiW tjftw V/^ C A F *s/!l> o c a *- "Zcci-- y " ' > >'< s> - j -!"^t lL,r> . Gp. , i-oc,'<(.Ac;p, C w i ' ' ' . ' - * L o < t k j r - z e h C h ______ Q & j > : - r * r z > ...................... fit-HtT P. t iiTbi. '?~'DusTr2jp><- j_prsuLjorio/>/ CO'.ufS V/a r r-j.(Z_^CuPee*,<>^o, U o l ^ r r z P . A Ca ;j .We s t e M:. $-?>ei>T>: Q o i e? ,,G sv^ ^ - -- - ________(_ 8 f t i < ^ S . -- ' ?-*/- tt V" n * . 3 : ^ . ' n *. / t tV - 3 / - I f ? / % * ] ; / P o 7 3 ' ; *7 J. 2.7360 / V ................................. 3 J / ! / . lour?# U3t. f o . . 5**: . . . ^ z J ! ,^ - 3 / r i*n? * . / - 3'o. l ^ r . .... 1^<3 . ,'-r ? .'b 4 T A i^ " - V * r . - . U i * ..........:.__ . . z p i j j i .................. _ 7 / o : ^ o 1 >-$/.- . . . : .............^ * 7 . ^ * . . : . .. . V . t j . I ... . ( ! 1 ; . > v . io " . V L-\c- t f * *j- C- 4 o k h vs IV - 3/- r ! .. . ..b b ^ l/ r .. / *^77 . ".lair loi to ! * 1 inauo ...}... . " .1 3-ii - f ^ 6 - 5 d - t Jy # . . J 3o- / ^ ! r f y .Y . . [ > - 3 - t>/ K ' v/Jsy4 > u oo\*^o . '* > j /o ^ TLrr i^ ja /?3lTv- 1 !i i FB0541T3 * "71 hvsrifr 9 . Wpt&Tfc/W .sttvn>* Lo ,' -TrtE. Tx Bft'TR'-ws^ Co _ ... *&**"* B r e v a * C o weeing / ^s.aga?feb- Ce i *' ;' .. W s VTM aJ.A ^ e S ''o- I i I I j ..--- ! i- y' ^ ^k, V^rvTo >TJ&^ '*h-*y*k. ihzjd suu~ T. 0a~<&~ cLa^C 9- /(* -C ~ v f c O ^ H * ^ * * * * ^ #* ft^<-*-*->> -*. C^c*^uc'C* x/'t-'' ^3--<t.'>t-' s**~ -^9^LC ^-\_^ ^-t>~4~.