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HomeMy WebLinkAboutSteven Gibbons Augusta Richmond GA DOCUMENT NAME: 5~ --L \J e. n ~, ~'p()(\ S DOCUMENT TYPE: a gyt/z. (Y1QV1f YEAR: J qo, It BOX NUMBER: FILE NUMBER: I ?-l9d- \0 . u , NUMBER OF PAGES: .... ~ LAW OFFICES OF CAPERS, DUNBAR, SANDERS & BRUCKNER PAUL H. DUNBAR. "' . ~. FREDERICK,SANDERS Z1VA P. BRUCKNER IALSO S.C.I 150.0 F'IRST UNION BANK BUILDING 699 BROAD STREET AUGUSTA. GEORGIA 30901:1454. OF' COUNSEL, JOHN D. CAPERS CARL P. DOWLING l"'OfiI72~~7542 TELECOPIER 17061724-7776 April 9,' 1996 state Board of Workers' Compensation 270 Peachtree street Room 529 .. Atlanta, Georgia 30303-1299 Re: Employee/Claimant: Employer: Servicing Agent: Counsel for Employee/ Claimant: Counsel for Employer/ Self-Insurer: Claim Number: Date of Loss: steven Gibbons ci ty of Augusta now known as Augusta/Richmond County Palmer & Cay/Carswell Terrance P. Leiden Carl P. Dowling 259-23-9360 03/08/95 Dear Sir/Madam: Enclosed herewith"please find the original .and six copies of the executed Stipulation and Agreement in connection with the above referenced matter for your consideration. Although this is a no liabili ty Stipulation and Agreement and there is.. no Award of settlement mentioned in the enclosed Agreement, the City of Augusta now known as Augusta/Richmond County has agreed to pay the Claimant Twelve Thousand and 00/100 ($12,000.00) Dollars to compensate said Claimant for any disability suffered and any other claim that he may have. If you have any questions, or need additional information, please do not hesitate to call. Thanking you, I am Yours very truly, ,~~a-- Car I P. DO~ng CPD:cmw Enclosure cc: Terrance P. Leiden Palmer & Cay/Carswell City of Augusta now known as Augusta/Richmond County .:..... -; ~ IN THE STATE BOARD OF WORKERS' COMPENSATION .. STATE OF GEORGIA cliliIii Number: 259-23-9360. Employee/Claimant: STEVEN GIBBONS Route 3 Box 122 H .." .'. He~hiibah, Georgia 30815 "J" . .. Employer/sel~~Insurer: CITY OF AUGUSTA now known. as ~UGUSTA/RICHMOND COUNTY 624 Greene street Augusta, Georgia 30911 Servicing Agent: PALMER & CAY/CARSWELL Post Office Box 841 Savannah, Georgia 31402 Counsel fer Employee: TERRANCE P. LEIDEN 330 Telfair Street Augusta, Georgia 30901 Counsel for Employer/ Self-Insurer: CARL P. DOWLING 1500 First Union Bank Bldg. Augusta, Georgia 30901 STIPULATION AND AGREEMENT The. following Stipulation and Agreement is entered into by and between the above named parties as the full and complete evidence upon which the State Board of Workers' Compensation may enter an award in final adjudication of the rights of the parties: 1. That it is stipulated and agreed that Steven Gibbons, Claimant herein, was an inmate .in the Augusta City Jail on or about March 8, 1995, and was assigned to a work detail at the North Augusta .+ . . . Material Recovery Facility in North Augusta, South Carolina on that date. 2 . That on or about March 8, 1995 the Claimant contends that he injured his hand when a grapple attached to a loader closed on it. 3 . .. The Employer contends, however, that the injuries suffered by the Claimant, if any, are not compensable in that the Claimant was a prison inmate and not considered an employee under the Worker's compensation Act. 4. . The Employer contends. that the Claimant was not involved in an accident arising out of and in the scope of his employment and in fact did, not suffer an injury from any accident arising out of the course of employment. 5. That the City of Augusta is now known as Augusta/Richmond County. 6. That all parties are represented by cbunsel. 7 . That while there isa bonafide dispute as to whether or not the Claimant did in fact suffer from an injury arising out of the . course of employment, the parties heretci expressly stipulate and agree that the Claimant did not suffer any compensable injury from any action arising out of and in the course of his employment and, 2 -;. #' ..,. accordingly, the Claimant is not entitled to any Workers' Compensation benefits, including, but not limited to, temporary total disability benefits, temporary partial disability benefits, or permanent part~al disability benefits, and this claim is not compensable. 8 . .. . That it is further agreed that the Claimant,' and not the Employer, will be responsible for the payment of any medical 'expenses incurred for the treatment of said injures. Wherefore, the Parties pray: a. That this stipulation and Agreement be approved by the state Board of Workers' Compensation as 'the basis of an award in this claim. b. That the Board enter and Award denying compensation. ..d . :3 day of dr).f'J I 1996. Respectfully submitted, this CJ>i;-~ a:t1l~ Steven Gibbons /~~A~. Carl P. Dowling . Attorney for EmployerjSelf- Insurer 3'