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HomeMy WebLinkAbout95-02496 ~ o ::t . \It 7 1 l!) '- ......., ~ ~ J " 0- ':j- (l ) ,- ( . , MAY 12 /99!J )1' IESSE E. I;ANIT, odllllnl&llollIl III till' Esl.lle III CIIIUSTlAN M (;ANIT, .t"r~aSl'lI, and /I'SSE I', (;AN1T and MAHlE C. (;ANn, l)l'Illltllll'IS IN TIlE COLJIlTOI'UIMMUN I'I.EAS CUMIlI'IlI.ANIJ COUNTY, I'I,NNSYIVANIA \" NO /'J ' j .'/ Yc. ,,1, t', ( ), 1 II" lAMES EDWA'{JJ 1I0CII; I;A VII' rALJS"; AElNA INSLJHANCE COMI'ANY; TIlE 1l0HACE MANN U1MI'ANIIS and ANTIlEM 1'E1{SONAI. 'NSUHANCI' U1MI'ANII'S, Hl'sl'ondCIII> Q1~ AND NOW, to wil this j 2,.., day of _/ ...;." -' )995, t1enll'nt, an Order has been entered approving the proposed sl'lIlement as set forth herein and authorizing Jesse E, Ganll tn t'xecute all Ill'cessary rei eaSt'S, c1ll'cks, taxes, and make the approprlatl' distributions. J, ~ "\ ""' II:SSI' 1'. 1 iANTI, "dlllillislmlll' III 1111'1'.1,'10-,,1 nllUSllAN M \iANn, dl""''''''11. "nd JI'SSI' F 1 iANrJ ,\I,d MAIW, I' 1 iANIT, 1','tititll1l'l"S IN IIII' t'\lIJ1lT\ 11'( '( IMM( IN I'II:AS (tlMIIFlIIANI 1(( 11 IN I Y, I'I:NNSYI.Y ANIA \'. '(', N(l. .~, Ii'. , ,'. ( ) " It JAMI'S EIlWAllIJ IIIXII; \iAYlI; FAUSI; AETNA INSUIIAN\ '10 \ '( IMI'ANY; TIlE IIOIIACE MANN UIMI'ANII'.s and ANTIIEM I'I'IlS0NAI. INSUIlANI'E U1MI'ANIES, III'sl'"",I<'I1I' PETITION FOIt AI'I'ItOV AL OF SETILEMENT AND NOW, wnlt' I'l'titioners, by their attorneys, Wilt & Freehurn, and petition this Court to npproVl' hettlt'IllI'nt of c1aillls lIriNinj; fWIll the death of Christian M, Gantt and slatt's liS follows: 1. Petitioners, Jt'SSI' E. (;anll and Marlt' C. ltnnll, an' adult individuals who reside at 121 South 151h Slrt'l'l, ClImp Ifill. PI'llIlsylvanla. 2. Jt'sse E, Gnnll is Iht, mlminlslralor of thl' estatt' to Christian M. Gantt, dl'Ct'lISl'd, by vlrlue of 1.1'III'rs of Adminlslratlon j;ranll'd hy Ihe ({\'Kislt'r of Wills of Cuml1t'rland Counly, I'l'nnhylval1ia on July 12. ]'N4. :I. Christian M. (tantt WilS horn 011 AUl\uhl 5, 1%1) ilnd dll'd intI'stalt' on JUIU' I), ]1)1)4, ilS iI rl'sult of Injuril'h Ill' susla/r1l'd In a motor vl'hldl' ilcrldl'nt that occurred on thai datI', 10. Rt'spondt'nt, Anlht'lll I't'rsollal InsuranCl' COlllpanit's ("Antllt'lll"), Is lirl'nst'd by till' InslIranl"l' COl11l11lsslollt'r 10 st'lI aulomobllt' IllsllranCl' in lilt' COl11lllonwt'alth of 1'l'IlIlsylvanla and has offices at 1/111 Olttl' Ilonlt'slt'ilLl LlIlt', I.ancastl'r, I't'llnsylvania 176ll!i-l1!i4H. 11. Christian M. Gantt dil'd as a Il'sultof a transected aorta which he sustained In a traffic acridt'nt whirh occUrrt'd at approxllllately H:22 1'.111. on June I), 191)4. 12. At the time of the acrldent, Christian M. Gantt was driving a 19117 Ford Aerostar south on SR 0011 (US 11 & 15), and James Edward Hoch was driving a 1992 Ford Eronoline 150 North on the sallle highway, At or about the location of the entrance to the Suml11erdale Plaza, James Edward Hoch caused the vehicle he was driving to suddenly cross the center turning lane of US 11 & 15 and enter the southbound lane wllt're it collided with the vehicle operated by Christian M. Gantt. 13. Christian M. Gantt was pronounced dt'ad at the scene of the accident by Cumberland County COrllnt'r, Michael Norris. 14. At the tlllle of the collision, the vl'hlclt' operatt'd by Jal111'S Edward Iloch was oWIll'd by (;aylt. M. Faust and was Insllrt'd under an Insurance policy of At'tna. At'lna has rt'pn'senlt'd to Petitioners that, at tilt' time of the wlllslon, the policy had a liability limit of Thn't' Ilundrt'd Five Thousand Dollars ($305,O()().()()). (This policy Is hl'rt'lnaftl'r rl'fl'rred to as J "At'lno's Liahlllty Polky"). At'lnn has o(fl'rl'd 10 st'IIlt, Iht' claims uf Pelltlullt'rs os il fL'sUIt of lhe dt'alh of Chrlsllan M. Ganll fur Its Iiahllily limit uf Tlm'e Ilundrt'd Flw Thuusand Dollars ($:l()!'i,()()().()()) In t'"changt' for a julnl lortft'asors rt'lt'aSI', A Inlt' and \"(lnl'r1 ropy uf 11ll' rl'lt'ast' Is iltlildll'd tll'relu as E"hibit "A" and made a parllwrl'llf. 15. AI till' lime uf Iht, ilcddt'nl, Anlhem insufL'd Ihret' (:1) molor whleles in Ihl' l'etltlul1l'rs' houst'lmld, induding 11ll' whicle Ihill Christian was driving al Ihe lime of Ihe wllision. The nilmt'd insured on Ihe policy were l'elltionl'rs, Jt'sse and Milril' Gilnlt. Anlhem was represented 10 l'etltloners Ihal Ihis policy l'Onlahwd underinsurnnCl' l'OVt'rnge with unslacked Iimils of One Ilundred Thousilnd Dollars ($JO(),()()O.OO) for each pef6l1ll and Tlut't' Ilundred Thuusand Dollars ($:100,000,0()) fur l'aeh neeldt'n\. (This policy Is herl'lnnftl'r rclt'rrl'd 10 as "Jesst' and Marlt' Gnntl's UIM Policy"). Anllwm has o(fert'd st'IIIt'lllt'nl of Pt'litionl'rs' dnims for undt'rlnsllrnnCt' benclits fur Iht' 1if111t of undt'rinsurnncc bt'lll'fits nvailablt' under said polley in till' SUIll uf Onl' IlundfL'd Thuusand Dollars ($100,000.00). A Irue and correl'l ropy of Ihl' fL'lt'ast' Is alladll'd ht'rl'lo as E"hlhit "II" and Illode a pari Ilt'rt'of. Ih. AI Iht' lime uf till' ilrrldl'nl, Ilornrl' Mann insttrl'll a shllllt' aUlof11ohilt, In Pctlllolll'rs' huusl'hold. TIlt' nanll'd Insllrl'd IIndt'r Ihls polky wns dccedl'nl, Chrisllnn M, l;nntl, tloraCl' Mnnn has 1"I'llI"l'sl'nlt'd lu Pt'lltluners Ihal Ihls pullcy l'untalnl'd undl'rlllslIrallCl' cO\'l'mgl' with slnrkt'd limits uf Ollt' Ilulldl"l'd Thousand Dollars ($1ll0,()()().()()) for l'arh IwrMlIl and ,I Tlm'l' Ilundn'd Thousand Dollars for l'ach i1l"chll'nl. (This policy Is Iwrl'inaftl'r rl'fl'rrl'd to .IS "Christian (;,lI1tt'S UIM I'olicy"), I loran' Mann has Offt'rl'd Sl'ttll'llIl'nt 01 I'l'tltiolwr's undl'rillSllralln' c1aillls for thl' SUIll of Eil\hty Thousand Dollan; ($Hll,llllll.llll). ^ tl'lll' and rolTl'rl ropy of till' n'll'asl' is allildll'd Ill'rl'to as Exhihit "C" allllllladl' a l'ilI't Iwn'of. 17. Jessl' E. Ganll, as the l1l'rsonal rel'l'l'sentatiVl' of Christian M. Ganll, has till' right to hrinl\ an ilL'tion fm WWlll\fll1 dt'ath for till' bendit of himself and Maril' C. Gillltl. Christian's natural I'an'nts. 42 I'a. C.S. HJ01; Pa RCI'. No. 22112. IH. Undel a wwnl\flll dl'ath action, Pt'titiOl1l'rs would have the right to rt'rover the followhll\ domal\t's: a. Funeralexpensl's of $fl,I'J1.1111; b. Expt'nses of administration in Ihe sum of $5H.llll; Co Loss of rash rontriblltions and servin's. Copies of Ihe fUI1l'ral bill and till' rt'ceipls fwm thl' expenses of l1dminlstration 111'l~ l1ttoched hl'rl'to as Exhibit "D" l1nd madt, a part Iwrl'of. 1'/. Jesse E. (;anll, as 11ll' pl'rsonal rt'l'n'sl'nlativl' of C1l1'istian M. Gantl, has the right to hrinl\ a survival action for till' loss of fUlllrl' earnhll\s through till' Iwriod of tilt' dl'n'lh'nt's lifl' l'xl1t'rlanry Il'SS till' I'whahll' cost of llIalnlt'IH1I1n' for till' dl'Cl'dl'nt and h'ss tht, allll11lnt of contrlhutions Iht' dt'n'dl'nl would havt' madl' 10 his stntlltory Iwirs IIndt'l' 11ll' wronl\ful dt'illh action, ~ 20. l't'tilil1l11'r~ n'ilHollilhly hplit'l'I', hilM'd II1'0n iI n'plll"tof Ililrry M, Lt'I8It'r, Jr" F.S.^" l"lln~lIi1in~ aClllal)', that till' Ill't l'l'onol11k lo~~ a~ iI n'~lIltof tht' dt'ilth of Chrlhtian M. (;anll is Om' Million, Sl'l'l'n I hllldrt'd Sixty Four Tholl~and, Nim' IllIndrt'd TWl'nty Ei~ht ()olliH~ ($I,7h4,lJ2H.llll). ^ trllt' alld corrl'rt copy of ~aid I"t'purtls illlarlll'd as Exhihit "E" illld l11i1dt, a pMt ht'n'of. 21. I't'titiolll'rs dt'sirl' to illlocilt., Forty I't'rct'nt (411%) of the 111'1 sl'ttlt'nll'nt IIndl'r ^l'tnil's Liilbillty Polky in tht' stllll of Thn'l' Il1Indn'd ilnd Five Thollsilnd ($3115,111111.1111) Dollars alld Christiiln Gilntt's UIM Pollcy in the sUI11 of El~hty Thousilnd ($Hll,lllllJ,llll) ()ollilrs, ilfler dl'durting funeml expenses, expenses of ildl11inistrntion ilnd attorneys fees, to dt'cl'dent's estilte ilS "survival dilmagl's," The rl'milinin~ sl'ttlt'l11t'nt procl't'tlH, including Ihe settlcmt'nt under Jesse ilnd Madt' Gilntt'~ UIM Pollcy in the Slim of One Hundred Thousand ($lll11,IlIlO.OIl) Dollilr~, shall be illlociltl'd to decedent's statutory beneflclarlt's as wrongful dt'alh dal11a~es. 22. This allocation of sl'ltlt'1111'nl is suffld.'ntto prolertthe estate and interests of tIll' Iwnefldaries, the IIt'nholders and otlwr crt'dilors, and hilS bt'en approved by the I't'llIlsylvaniil DI'lliIrtn1l'nt of 1{t'l'l'nlle. ^ letter frol11 the Pennsylvania Dl'pilrtlllt'nt of HeVt'I1IIl' is alladll'd ht'rl'lo ilS Exhibit "I''' and Illadl' a partlll'n'of. 23. This St'ttlt'nH'nt is in lIlt' ht'st illtt'rt'sls of tilt' t'stillt. and till' statutory bt'lll'f1daril's of dt'l"l'dt'nt. Ii ItELEASE (joint Turtfeilsm) KNOW ALL MEN IIY TIIESE I'I{ESENTS, that Wl', k~~e E. Gantt and Marie l;anll, Individllally and Jl'~~l' E. t;antt a~ Adminbtrator of the Estate of Chri~tian M. Gantt, the Undl'r~ignl'd (I11'reinafler reCt'ned to individually and collt'ctively as "Claimants"), for illld in mnsldl'rillion of the slim of Thn'e Hundred Five Tholl~and and OO/lOll Dollar~, to us in hand paid by Gayle Faust and James E. Hoch, the receipt whereof Is hereby acknowledged, have released and discharged, and by these presents do hereby furever release and discharge said Gayle Fau~t, James E. Hoch and Aetna Insurance Company of and from any and all liability, claims, demands, controversies, damages, actions, causes of action on account of personal injuries and any and all other losses of any kind and nature caused by or resulling to us from an accident which occurred on or about the 28th day of June, 1994, at or near Rte 11 & 15, Enola, Cumberland County, by"eason of an automobile accident, and of and from allliablllly, claims, demands, controversies, damages, actions and causes of action whatsoever, either in law or equity, which we, our heirs, executors, administrators, successors or assigns can, shall or may have by reason of or in anywise incident or resulllng from the accident herelll before mentioned. As inducement to the paynll'nt of the sum aforesaid we declare that the terms of this selllement are fully understood and that the said sum Is voluntarily accepted for the purpo~e of making full and final compromise, adjustment and settlement of alllo~ses, damages and injuries herein before mentioned or referred to, and that the payment of said slim for this release is not an admission of liability, but that the parties released herein expressly deny liability. EXHIBIT A II is l'xl'n'~~I)' III"kr~llllld Ih,11 C1"illl,lI\t~ n'~I'n'I' till' righl tll I'ltrMII' ,1111' daim which till')' Ill.,)' h.\\'I' ,\g"in~t ilny in~lIn'r, gll\'I'rI1ml'nlall'ntity llr .1111' nther t'nlity, fllr ,mtomllhile in~lIrilnU' 11l'nl'lit~, Ill'illlh llr ilcrident insurance benelit~, llr any l1l'nl'lit~, I'ayahll' ,\S il rl'sult to 11ll' .\Criden\. II is exprl'ssly understlllld that Clailllants arl' eXl'cuting Ihis release in favor of Gayle Faust, James E. Illlch and Aelna only and spt'rilically reserve the right to pursue any uther daim that may exist against any ulher person ur entity as a result of this acciden\. If Claimants obtain a judgment against any other party in any legal actiun as a result of the accident, this release shall not bar or reduce Claimants' recovery on the judgment in any way, unless Gayle Faust and/or James E. Hoch arc judicially determined to be jointtortfeasors, sharing joint and several liability for the judgment. In that event, Claimants' recovery on any judgment shall be reduced, but only by Gayle Faust and lor James E. Hoch's pro rata share of liability for the judgment, without regard to the amount of the considerallon paid for this release. The terms of this joint tortfeasors release shall be construed pursuant to the Pennsylvania Supreme Court's opinion in Charles v. Giant Eagle Markets. 513 Pol. 474, 522 A.2d 1 (1987). In the event that any other tortfeasors are responsible to us for damages as a resull of the aforesaid accident, the execullon of this release shall operate as a sallsfactlon of our claim against the parties herein released to the extent of the relative pro rata share of said damages which the parties herein released, would otherwise have hnd to pny, except for this release, and to Ihe extent of the relt'ased parties' liability for contrlbullon to any other joint tortfeasors resulting out of the nccidt'nt aforesaid. Further, if it ~hould appenr or be adjudicated In nny suit, action or proceeding that the pnrlies herein n'lt'ased were guilty of joint negligence whh:h l"I\I~I'L11\llr iniuril'~, Ill~M'~ Ilr d,lll\,lt;l'~, inllrLll'r III ~ilVl' ~aiLll'oHlil'~ hilnlllL'~~, WI', a~ furth'.'r ron~ILll'r,llillll Illr ~ald 1',1)'1111'nt, will ~ilti~f)' alld denl'e, judgl11enl, or award 111 which IIll'rl' is ~u(h finLling llf adjuLlication involving ~aiLll'ilflies herein rl'IL'abed, lln their behalf and to the extent of their liability for nmtribution; alsll, WI' will indl'll\nify and save forever harmless said parth's herein released against loss or dall\age because of any and all further claims, demands, or actions by others made on acwunt of or in any manner resulling from Claimants' injuries, losses and damages. This duty to indemnify shall not include any obligntion to pay counsel fees, litigation costs or other expenses incurred in connection with the defense of any such claim, It is expressly understood and agreed that said sum hereinbefore stated is the sole consideration for this rclense nnd that Ihe consideration stated herein is contractunl and not mere recital and all agreements and understandings between the parties in reference thereto arc embodied herein. We Jesse E. Gantt and Marie Gantt, individually and Jesse E. Gantl, as Administrator of the Estate of Christian M, Gantt, hereby further agree that this release and all promises and ngreements contained herein shall be legally binding upon us, our heirs, executors, administrators or assigns, or any of them. IN WITNESS WHEREOJ1, we have hereunto sel our hand and seal this dny of , 1995. (SEAL) (SEAL) (SEAL) (SEAL) CLAIM NO, SS694-798 RELEASE FORI'A Yl\lliNTOFIJNDElUNSURED MOTORIST BENEFITS KNOW ALL MEN liY 'l1lESE PRF-'iENTS, lhal for and in consideration of paymem to thc undelsigned of ($100,000), the receipl of which is hereby acknowledged, we, being of lawful ase, have released and discharged, by lhese presents do for ourselvcs, our heln;, personal represenlatives, su=ssors and assigns, releasc, acqull and forever discharge The lnsunnce Company of Decatur, and any of its parcnl companies, aff1liates, or subsidiaries, as well as its agents, oflicas, dircx:tors, employees (any and all of whom are herein refereed to 19 'The Insurance Company of Decatur"), and assigns, from any and all claims damages, demands, COSU, expenses, compensation, actions, causes of action and all consequential damages, known or unknown prior to and including the date hereof. arising OUI of or in any way growing out of !he bUurics, death, losses and property damage resulting from an incident on June 9, 1994 at East Pennsboro TownsWp, PA. 1bls release is intended to release any and all claims for underinsured motorist benefiu provided by The Insurance Company of Decatur under any polley in wWch the undersigned is either a named insured, an insured, or othetwise entitled to nOOerinsurcd motorist benefits. * The undersigned acknowledges that he has disclosed to The Insurance Company of Decatur all monies or compcnsation received from any source as a result of ibis incident, . ibe Insurance Company of Decatur hereby expressly 9!~ives their rights to subrogalion, We further slate that we have carefully read the foregoing release and know the conll:1IIS thereof, and that we are signing the same as our own free act and further intend to be legally bound by the promises herein contained, I f \his release is executed by more tllan one person as relcasor, the obligation. responsibility and liability of each such person shall be joint and several. WITNESS our hands and seals tllis day of ,19 .'I'hc~ fnr'egnill(j llotWitllRtlllldill<j it j:; ,'xPII',;:;ly 111111<'("';(00<1 <111<1 ;I<JI'(','<I that thin H"lenn(~ relater; ollly to the \ItHlerJIlIlU/"l") motodr;t benefits nvailnblo ullL1el' tho mntol' velliclo pol icy of 'I'llP IllfluI'nncfl Company of Decatur', policy No, H 059447A, 1111<1 ift bilfiL'd upon [['pn";('Ilt.i,Uoll by tile Ci\l'rier that this if; the limit of tho ull<!,'rlllflur('(! Ino\:orifit bC'Ilf'fil:ft II Ild(! I' [mid policy. r .~.T (SEAL) (SEAL) RELEASE FOR PAYMENT OF UNDElUNSURED MOTORIST BENEFITS MADE, this day of . 1l)L)5, by and between )esse E. Ganll and Marie Ganll, individually, and Jesse E. Canll as Administrator of the Estate of Christian M. Ganll ("Claimants"); and Horace Mann ("Insurer"): WITNESSETH: WHEREAS, Jesse E. Ganll and Marie C. Gantt, arc the natural parents of Christian M, Ganll who died on June 9, 1994, as a result of injuries he sustained in a motor vehicle accident that occurred on that date, and; WHEREAS, at the time of his death, Christian M. Ganll WilS a resident in the home of his parents, Jesse E. Ganll and Marie C. Ganll, and; WHEREAS, Jesse E, Oanll is the administrator of the estate to Christian M. Ganll, by virtue of Lellers of Administration granted by the Register of Wills of Cumberland County, Pennsylvania on July 12, 1994, and; WHEREAS, At the time of the accident, Insurer insured one (1) motor vehicle in the Claimants' household under a policy bearing policy number 37 4721 9500. The named insured on this policy was Christian M. Gantt, and; WHEREAS, Insurer has represented to Claimants that this policy contained underinsurance coverage with stacked limits of One Hundred Thousand Dollars ($100,O()O.00) fur each person and Three Hundred Thousand Dollars ($300,000.00) fur each accident, and; WHEREAS, Insurer has offered selllement of Claimants' claims for underinsurance belll'fits for the sum of Eighty Thousand Dollars ($BO,OOO.OO), and Claimants are willing to accept the same upon court approval; EXHIBIT ~ WHEREAS, Insllrl'r has been advist'd that Claimants desire to sellle their claims for Ilnbllily ngninst JilIlleS E. I-loch, the driver of the other motor vehicle involved in the collision, nnd Cnyle Fnust, the owner of snid motor vehicle, for the totnl sum of $3ll5,llllll.llll, nnd; WHmmAS, Insurer llils been ndvised thnt Clnimnnts desire to sellle their c1nims for underinsurilnce benefits ngninst The Insurilnce Company of Decntur, the insurer of three (3) nutolllobiles in Clnimnnts' household, including the motor vehicle thnt Christian wns driving at the time of the collision, for the sum of $lOll,llllll.llll, and; WHEREAS, Insurer hns consented to these settlements nnd has waived any rights thatH may havc had to subrogation and/or set-off, and; NOW THEREFORE, for and in consideriltion of payment to the undersigned of ($BO,llOll.Oll), the receipt of which is hereby acknowledged, we, being of lawful age, have released and discharged, and by these presents do for ourselves, our heirs, personal representatives, successors and assigns, release, acquit and forever discharge Insurer, and any of its pnrent companies, affiliates, or subsidiaries, as well as its agents, officers, directors, employees and assigns from any and all claims fur underlnsured motorist benefits provided by Insurer under the aforesaid automobile insurance policy. Claimants acknllwledge thai tlll'Y have disclosed to Insurer all monies or compensation rt'Cl'ived from any source as a rl'sult of this incident. Insurer hereby exprt'ssly waives any rights to subrol\ation and/or set-off that it might hnvc had. Claimants rl'Sl'rVe 11ll' ril\ht 10 l'"rSIll' nny other claim which they may hnvc nl\ninst nny insurl'r, I\ovl'rnml'ntnl l'ntily or nny ollwr entity, for , nutol11oblll! lnsuranl't' ht'llt'lltS, Ill'illlh or al't'idt'nt insllmlKt' hl!lwflts, Ilr any bl!nl!flIs, payahlt' itS n H'sull of till' lll"ddl'nl, without nny Ill11llntion or rl!duction of nny kind. Clnlmnnts stittt' Ihat tllL'Y haVl' clIf"l'fully 1'l'.ld 11ll' foregoing H'll'asl! and know lilt' Cllnlt'nls tht'H'o(, and that Iht,y ilrt' signing 1111' snml! itS their own frel! act and (urlht'r in lend to Ill' Il'gnlly hound hy the promises hl!H'ln contnined. If this rl!lt'ast' Is eXt'culet! hy IllOH' than one perSllll itS releasor, tlw obligntion, responsibility itnt! Iiahility 01 each such persoll shall bt, joinl nnd sevl!ral. IN WITNESS WIIElWOF, Wt' ha\'t' selour hlllld nllll Iwal this day of ,1l)lJ5. (SEAL) (8M!.) , HEn:II"l' 1'011 I'^VHI-:N'l' !~, I- . ~~n==~=c~e~~~~'r.=~~c Cumberland county - Hoqlalur Uf Wlllu Hanoyer and High Slroot Carl s e, P^ 17013 Hecut~t Dolo nece It 1'lme Hece t No. 7/~2/1994 I 12 142 00 874 G^N'I"l' CllH I S1' I ^N M File Number 1994-00593 Remarks JESSE E G^NTT JR ------------------------ Distribution Of Receipt ------------------------ Payment ^mount Payee Name Transaction Descriplion P~TITIOl LT~S ADM SORT C RTI 'ICATE R NUNCI TIO HEIRS JCl' FEE !~:88 5.00 CUMBERLA~D COU~TV GE~iRAL FUN CUMBERLA 0 COU TV OE RAL FU~ CUMBERLA 0 COU TV oE HAL FU BUREAU OF RECEIPTS , CNTR M. Checkf 1782 Total Received.....t ... US:88 ~ . .~ II il,' '11 'I \'.,1 : 11\1,' ':11't ; . I. III I ..J, I' I ..: i.;' I I~~' :, Il .:. .I ~ .,. ~ ~ lit \It VI I" \. I~ ~ VI VI WI VI III VI IO:!J "I ' ., ~-\, ~ ilG \~i i t~1 08~h~p ,;' '~~';l ~ i~~~~ ~- 'j ~i; A Q.) I ! ~ )" ""' "", :;.: i 'i ~IX r-4 -J t; ffi r t'" .......~ t' -I "ll ~,L _ +-'''' ~~J ". I" . ~~i!~ ~'~ j' ~ '\~ ~ ~: f. ~ '{ ~ ~ Ii:,>' '; ~ t':I r'" , f r. ~ ~ '. ~ . { 1; & ~ h\i \, Z ~ I I > ~ g l. E ~ ~ ~/. :: ~ ~ t: 9 >1 0 ~ 1; U . <'J i' . ,. ,i l:: ~ 6 II( 2 z ] ~ II! ~ ! i-~ .~. ~~ _:; Q r" ~ ~ ~ I e ~ I ~ I p~ ~~.~ ~ 'f. Ull 1: I I ,.. Q I~ 0 ~ ~ Q i n i9 . I ~ l ;: ! ~ ~ r-------- !! l! ~ I,j ~J:i il \j i~h. il hHlI i. !l!l! i~H'f WI! ~ t , I . , .. ~t r.. i't ~ ~ \' ..... t _, ti' M ~I! 1,!.. "', , If:, '7 . ,..!.lr I' .. '. I I. , . . . :;' I , , I. l -\ G [. ... '1 .. 1 '0 \, 1- ll, .. . , '.,; i ....1 i II i:~ ". .., VI VI 'I' . .. " , . ." ~li . n L " o \;, t ~ ~ t. ~~ i t ~, !f ~ ;;~ it ijj 01; :J [ 'Ii ~ "=; 7 l I r1 e ij ~ it Ii' > 0 U , " . . t i. . b <>c ~ a i}1 J ". \ \1\ ~\~N In VI in '" 11\ ..,........ Vl VI ,.... . q ~ "-.' ;l;~I"lh ~ t! II ;~-,' r, ~" ~' t ~;.;li~H~1 ,j r'~lli~3:. ,I w~. . ~ ~. Hi. II~. ' i ()~: . I. , ~ 11 . m W ~ ~ ~Hf ;~ ~: ?'~~ I' h' h ! ~ ~.'~ l'>. f~ ~ t . i1. i: 5 ., ~ I ) ~ 5" i ~ ~ l'i.,.1l ~ ~.;' ~i ~ [. Uj I I" E '.' n It !.. " h Vi ~. . J, u.. <I it, J ! · ~ " B.'. ~ ", ~,../. ~ ~.~ .~~t."'R'i'^ iU ;t ~ ~ f.; : ". : 'J II ~Ij \ 'f J ;/. '. ~ r . ,. 1- 'I' ul '. t. ~".1 .. C tJ I .., , ,., I? .! ., , .f,;-, ; ~ ;11 lfl I, "; " Iflfllllvilll,111 IJII H I.!'''I J',ll II -IIV,II,II,'1 11.1., VI" 'I J I l\ll/I'i1I"1 1 , ..''\ VI tA 11I'- "<'j i " . " ), , ,. 't! ) ,,_ ~. t ~ I If d q ~,' f1 \ -I Ii.! t; !.~ Ifj ~ja _I ~I~j ~; r. 2! ) ( .1)' t i. w f,~ ~. ~ ~ f'j ,x " " I l ". ~ ~ ,. t' '; ~ , ~ ',I I) ."' " \, 11 f- ";l 't !J i.." \. ~~ "I I) ~ J '.. , I ~" ,'In r " " ' '1 ....1... '," f.' (' If ,. ~ ,_ "! . ." ~ t' ~. .j) '1 '1 ,") ~_ .1 ;'. " " '.'. ,I' 'j' I;' ,J I, 'I . .. .' \ '" ',., : '. . , . , l : , \ ~ . q ,. I~ t::' <1.' . 'e .. !.; , -"I l. f , I ") , I -I .. . ''I, :, 1\) ,) : ~ \ f r ,\, J J ~-j } I \ I -1 ! ! Itl Jln] HI '1 I .r- >l. .~ \:' rf tl . ,; <, '. ~ , "1- "V 4 L ~:._:... 'S:lt II I ~><.' II . i I r~!"111 (,!;!~ WII' 1111' ~ ~liJJg >&&Iw ~ ~I'~~i{ldlllil " nJ'J~,~,~ I I1I1 , (:llllrad M. Si('gl'l, Il\c. ,v I I I illil's / Iii- IId'it S ~ ""ll ,hi M SII'l" I, 1 S ^ 11111) M 11'I\hl. Jr ,I S ^ U,l.Ul S ~.ulll.1 S ^ l'l)dl'llilllflllh.1 '^ Lull MUlIlmt'll. M ^ ^ ^ ",.IIl''' I Ill,lJlt ^ S ^ l1J\uJI' Slulml!,A SA Muhl'" J MI.llI~. r s ^ llJ\ldll Kllllf~,rS^ Jeffrey S M)'l'B. r s ^ , h\llllilS l. lllnnWJIIl.ul, t: S ^ Glenll A lIolfu. r S ^ III)'W S Ollllllellllelt. ^ S A hank 5 Rh,,,)Cl.\' S ^ , ^ C ^ S l'hwlu n rrie:dl;ulllcl. ^ S ^ 11.111)' ^ "II", A SA mlllllm A{IUIrlU (tltISA) Ke\in A rfh. A SA IInlth ACIUII)' ..-", - - -,.-. - -- .. - -.- - ',1111 '\:.lllllll\\ldl' litH\' P t I 1\11\ ',qOll 11.1111,Il\u~:, 1',\ 111111 ','HIO (111)1>'0"1','01' I." (ill) 'dll '111110 NlJvclIlbl!r 28, 1094 Hil'hul'tl E. Frel>bllm, ESII. Will, Mugdlllc & Fn'ebllrll (lOa North SCl'lJnd Hlrl'l't Harrisburg, PA 17101.1002 1m: Chrisllnll M. (Jlllltl Dl'or Mr. Fn'ebllrll: YOlllndlcoted Ihot ChriKlllln M. Gontl was born on August 6, 1969, ami Ihot he died on June 9, 19'J4 As IIf Ihe dnle of his dlJnlh, ChrlsLlon M. Gonlt was 24.8 years of agl!. The life expeclancy for 0 white male age 24.8 Is on additlonIlI4f!.1 years. This Implies on expected age at death of72.9 (24.8 + 48.1). The life expeclancy Is based upon a IlubIlclltlnn oCthe lJ.H. Department oflleallh & Ihunon Hervkesl!nlitloll "\lB, Decennial Life "lIbles for 1079-81." Chrbtlsn M. <Ianll was Ii sllldellllill'enn State University. lie expecled to graduate in December 1094 wilh 0 Ilnclwlor's Degree In EnginelJrlng. lie was a Dean's List student and hl8 lIl'.A. Wnl :120. Christian M. lIonlllnlended 10 pUrKlW U carl!er as on engineer. Therefore, for the purpose of lhls preliminary report, 1 clllculaled Ihe eumlngs capacity based upon the average earnings fllr mid,level engineers. Currently, this overage earnings is $53,970. There Is a publicotlonl'ntltll!d "OccuputlonuI Olltlook lIandbook 1994,96 Edition" published by the U.S, Department of Lubnr, Bllreou of Labor Slatistlcs. This shows the earnings Information fllr 1992. Ilnnl'aSI!d Ihe 1092 comings Infortllution by 2.8% to obtain the average earnings prevlollsly nll'nLlonl!d of $fi:l,070. In accordance wllh the \{llczkllWBki vs. Bolubllsz decision, II Is permissible to take Into account Ihe vnluc of fringe 1ll'IIl'fils. Information pllblislll'd by tlw liB. Deportment of Labor, Bureau of Labor Hlntlstll's allll hy Ihll u.s. Chlllnlll'r of COmtlll'rl'l', indkutes Ihut Ihe vnllle of fringe hellCOtB BlIllllllltslo IIhollt 18% o!"l'IHlllngs. Frillltl' 11I'1ll'Ots (,ollslsl oflhll costtn the employer In IlIovldo Illl8pital, slIrgiral nnd IIl1'dil'IIII11'lll'lits, l'nnlrilllltions III pl'nsion und profit sharing pIUIIS, I'tc. III U d['lIlh fa",', il b Ill'lI'SllalY III d,'duel IIIl' f1,,1 of mainll'lIlIlll'['. TIll' ('oKl of Illllillh'lllllll'e run.l.tl'nl wilh lhl' r.lcClinloll I'll Whlll' [h'd,lillll ,'onsisl. or tilt' IH'l'I'S'lIry IIlId l'conomiclIl HIIIII which 11.10'11',1,'111 wOllhll,,' ["1""'1",1 tn "1"'lId, 1",,,,.,1 IIpOIl hi. Hlatioll in lifl', for rllllll, I lolhllll:' .III,lIn, IIwdllallllt"lIllnll illld "01111' "'I'"',,lioll. Inlilllll:lllllll (>lIlIli.I\I',1 hy Ihl! U.s. Ill'p:lrtlllf'1I1 of I.alollr, 111111'''"111 1.,,1"'1 1:\;lIhli", illdkal,', till' Clio I orlltilinll'IHlnre Illllount,lo 1Iltll1ll :,t)'..~ fJl f';HllHII:~1 EXHIBIT E F' j ( :llll\'ild ~ I. S iq.~1 '" Ii 11'. Hil'hunl E. 1,'n'l'hurII Nu\'('ml,,'r :!Il, I!l!H Pngl' 2 'I'lw fuUnwinll tnhlc 8hu\\'8 thc vuhll10f II", net ,'conllmlc IU880n tho husls of the dutu prevluusly d"8crilll'd: Eurning8 Cupuclty Frinlle 1ll'lwlit8 Cust of Muinlcnllnl'e $:.I,I:.10,4IH :J!I:.I,7fiO ,--..1ii.2:tfi Net $I,70.t,lr2H The fib'llres in the above lllblc are buscd upon a work lif,! expectuncy toulle 111\. The calculatIOn of the valuo llf tho futuro ulllounts dIll's not refll'ct u diacount for interest in view of the '<aczkowski vs. Bolubusz decision. This is a preliminary rcport. For example, this rt'port dues not tuke into Ul'count uny incrcBsc in the future rute of earnings capacity uttributablc tllllains in productivity. With best regards, Yours sinccrely, I , IIML:kad \ Hnrry M. Ll!lster, ,Jr., "'.S.A. , Consult.ir1g Actuary " '\ Ene. WILT & FREEBURN A1TOItNliYS AT I.AW (,lIl1 NOllTlI SKONIl STItHT IIAIUUSIlUI\(;, I'ENNSYl.VANIA 17\l11 (7171 23H2111l Invoict, ~lIhmitted 10: Jt's~e E, ilnd Marie C. Calltl 121 S, 15th Street Call1plllll,l'A 1701] May 5, 1!I!l5 1110000 In reference to: Wrongful Death Hrs/Rate AmUWl1 4/6/95 REF General 1.00 250,00 Tl'It'phnne conver~ation wllh Aetna and Anethem; @250,00/hr review releases 417 /95 REF Generill 3,00 750,00 Releast's @250,OO/hr 4/11/95 REF General 2,50 625,00 repare releases fur Anthem and floraet' Mann; @250,OO/hr etler In Aetna re: its relt'ase; revise I'l'tition for Court Approval 4/24/95 I~EF (;eneral 0.50 125,00 telt'phone rnnwrsalion with rnunscl {or floran' @250,OO/hr Mann; fax revisions to rl'lt'ilSt' 4/21/!l5 REF Gt'l1l'ral 0.40 100,00 lelt'pholw call from ('hnrles ('illkins from I Jural'!' @2511.011/hr Mann; revise rell'ase Hill! (ax 4/2H/95 IWF Gt'lwrnl 0,110 200,00 Tl'll'pholll' cOIl\'t'rsHlion wilh Al'InH's nl\lllSel; @250,01l/hr n.'visl' rl'll'i:1Sl1 IXHfIlT -'Z-.. Jt'~se E. ill1l1 Mnrit' C. (;nnll Mny!i,I<)<)!i Page 2 Hrs/l{ule Amount !i/ll<)!i REF Gt'lll'm I ll.5ll 1 25.llll nnll'nd release for IloraCt' Mann @25ll.ll0/hr 5/2/<)!i REF Gt'neral ll5ll 1 25.llll tellThone convcr~ntion with adjuster from @2!ill.llO/hr AntlCm; amend release 4171<)5 WWW General I.llll 2!i0.110 nmsultation @250.00/hr 4/H/L)!i WWW General 1.00 250.00 review release with ImF @250.0ll/hr 4/21/L)5 WWW Genera I l.ll0 250.00 consultation @250.00/hr For professional services rendered 12.20 $3,050.00 Additional charges 1m 3/31/95 1 Costs @1282.40 1,282.40 Costs as of March 31, 1995 4/10/95 1 Costs @0.32 0,32 postage $.32 5/5/95 1 Costs @28.50 28.50 copy ing of Pet i tion - 190 @ $.15 = 2H50 4/1/95 1 Costs @3,OO 3.00 copying of Petition. 20 pil!\t'S @ $,I!i = $3.0ll 5/5/<)5 1 Costs @6.20 6,20 postuge to nwlll't'tition - 6 @$\'24 = 6.20 , . CERTIFICATE OF SERVICE I hereby certify thatll true and correct copy of the foreHolnH l'etltloners' l'etltlon for Approval of Settlement, has been duly served on the followinH this 5th day of May, 1995, by placinH the Sllme in the U.S. First Class Mail, postage prepaid, at \-IarrisburH, Pennsylvanill, addressed as follows: James Edward Hoch 6007 MocklnHbird Drive Mechanlcsburg, I' A 17055 Gayle Faust 105 East Allen Street Apt. #114 Mechanlcsburg, I' A 17055 Thomas Leddy ANTHEM Casualty Insurance P.O. \lox 10548 LatKaster, P A 17605-0548 Shawn Foster \-Iorace Mann Insurance Companies 9841 \lroken Land Parkway Suite 303 Columbia, MD 21046 Judy \latcheler Aetna Insurance Company 5001 Louise Drive Mechanicsburg, P A 17055 BY: /eJ Ii () ., " /' ". ( J(,.. '..",- Richard E. Freeburn, Esquire WlLT& FREEllURN 600 Norlh Second Street \-IarrisburH, PA 17101 (717) 233-6200 Allorney J.D. #30%5 Dated: 5/5/95 Allorney for Plaintiff \ fl. .., . l,. "-1 l4;' - ~, '~ '1 c '" 1......_ , " '-.. \.-"" .rt ~..... \,.. '. '..;j-... r. I , \rl " " '- ..~J ---., -:J- ('~ " '- ........ ". ,~ '-", ,\,. ...'(- - " " " - -, ~ "I- -. J r- )" " .. , II'IIT, ~\.\(i1I\'U: I(, 11111.:111 II~ \111111'.1\'" \1 I'" LI~I \1111111 '-111l'.II~lld I I II \ 1111 1"111 Ill, 1'1 .... ~ \ [ \ ,,, I \ i i"