HomeMy WebLinkAbout20180503_ Archer Releasem
RELEASE OF ALL CLAIMS
KNOW AL1, MEN BY THESE PRESENTS:
W That the -Undersigned, being of lawful age, for sole consideration of Six Hundred Twenty.
C) Five and 001100 Dollars ($625.00) to be paid to Fredric P. Archer dodoes hereby and for my/our/its heirs, executors, administrators, successors
O and assigns release, acquit and forever discharge City of San Luis Obispo, California and his, her, their, or its, agents, servants, successors, heirs,
VI executors, administrators and all other persons, firms, corporations, associations or partnerships of and from any and all claims, actions, causes of
action, demands,, rights; damages, costs, loss of service, expenses and compensation whatsoever, which the. undersigned now has/have or which
may hereafter accrue on aceount.of'or in any way growing out of any and all known and unknown, foreseen and unforeseen bodily and personal
I injuries and property damage and the consequences thereof resulting or to result from the accident, casualty or event which occurred on or about
:M the 9t° day of March, 2018, at or near 1525 Gathe Drive, San Luis Obispo, CA 93405.
Q
It is understood and agreed that this settlement is the compromise of a doubtful and disputed claim, and that the payment made is not to be
construed as an admission of Iiability on the par[ of the party or parties hereby released, and that said releases deny liability therefor and intend
merely to avoid litigation and buy their peace.
It is further understood and agreed that all rights -under Section 1542 of the Civil Code of California and any similar law of any state or territoryof
ra the United States are hereby expressly waived. Said section reads as follows:
4
pp "1542. Certain claims not affectedby general release. A general release does not extend to claims'which the creditor does not
know or suspect to exist in his favor at the time of executing the release,. which If known by him must have materially affected
aij.-sciderneut %viii the debior: '
The undersigned hereby declare(s) and represent(s) that the injuries sustained are or may be permanent and progressive and that recovery
therefrom is uncertain and indefinite and in staking this Release it is understood and agreed, that the undersigned rely(ies) wholly upon the
andersigned's judgment, belief and latowledge of the nature, extent, effect, and duration of said injuries and liability therefor and is made without
reliance upon any statement or representation of the party or parties hereby released or their representatives or by any physician or surgeon by
them employed.
The undersigned further declare(s) and represent(s) that no promise, inducement or agreement not bercin expressed has been made. to the
undersigned, and that this Release contains the entire agreement between, the parties hereto, and that the terms of this Release are contractual and
not a mere recital.
I. heraby represent that at the time I sign this Release I am not hospitalized in a medical facility nor was I admitted to a medical facility within the
past 15 days. I_
THE UNDERSIGNED HAS READ TIM ABOVE AND FULLY UNDERSTANDS IT TO BE A FULL AND FINAL RELEASE OF AL1. CLAIMS.
Signeed a deliver t 'day of ! VZBIX
Witness to signature
Address of Witness Signature
Witness to signature
Address of Witness Signature
For your protection California law requires the following to appear on this form.
i!�nJ. person who knowingly or. fmudulert claim fiir the payment of a loss is guilty of a crime and may be subject to tines
and confinement in state prison.
State of
County of
Before me this
day of
ACKNOWLEDGMENT UNDER OATH
15S
known to me to be the individual who executed this release, and acknowledged that
contents and fredly executed same for the sole consideration therein expressed.
came
fully understood its
Notary Public.
CW072