HomeMy WebLinkAbout20170530 Lee-Sfx8 Release 1958591RELEASE OF ALL CLAIMS
KNOW ALL MEN BY TI 11,SE 13RESENTS:
That the Undersigned, being of Lawful age, for sole consideration of One Thousand Eight
Hundred Ninety -Five and 60/100 Dollars ($1,1395.60) to tae. paid to Hunter Rockwell Lee dodoes hereby and for rny/otrr/its heirs, cxccutors,
adrninisiralors, successors and assigns release, acquit and forever discharge City of San Luis Obispo, California and his, tier, their, or its agents,
servants, successors, heirs, executors, idministrators 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 whalsoever, which the
undersigned now has/have or which may herea ler accrue, on account of or in any way growing out of any and all known and unknown, foreseen
and unforeseen bodily and personal irljtrries and property damage and the consequences thereof resulting or to rostrlt from the: accident, casualty or
event which occurred on or about the 171" day of March, 2017, at or near 1.311 leredericIcs Street., San Luis Obispo, CA 934115.
It is understood and agrced that this settlement is the compromise of a doubtful and disputed claim, and that the payment made is not to be.
construed as an adinisdon of liability on the, part of the. party or parties hereby rele.a.sed, 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 1.542 of the Civil Code ole California and any similar law of any state or territory of
the United Slaics are hereby expressly waived. Said section reads as follows:
"1542. Certain claims not affected by general release. A general release does not extend to claims which the creditor docs riot
know or suspect to exist in his favor al the. time of executing the release, which if known by hint must have materially affected
his settlement with the debtor."
The undersigned hereby declare(s) and represent(s) that the injuries sustained are or pray be permanent and progressive and that recovery
therefrom is uncorlain and indefinite and in making this Release it is understood and agreed, that the undersigned rely(ies) wholly upon the
undersigned's judgment, belief and knowledge of the nature; extent, effect, and duration of said inaurie,s and liability therefor and is made without
reliance, upon any statement or representation of the party or parties hereby released or their roprewntativos or by any physician or surgeon by
them employed.
The undersigned further declate(s) and tepresent(s) that no promise, inluccment or agreement not herein expressed has been made to the
undersigned, and that [Iih.. Release contains the entire agreement between the parties hereto, and that tire, terms of this Release are contractual and
1101 a mere. recital.
I hercbv represent that at the time l sign this Release I am not. hospitalized in a medical facility nor was I admitted to a medical facility within the
Past 15 days.
'1`111:11NDERSIGNED AS READ ',I ; ABOVV AND FULLY UNDERSTANDS IT TO taw; A �F 1 L1, AN 1) h'INA1, ItELVASV OFA IA, CLAIMS.
Sig cd and deli -red this day of .
W' e -Ss to shz �€ru
� Sinalure' T
l�Vitne�s tt.r au
Address of witness Signature
For your protection California law requires the following; to appear on this form.
Any person who knowingly presents ,a false; or fraudulent claim for the payment of a loss is guilty of a cringe and may be subject to fines
and confinement. in state prison.
State of
County 01' _
Before me this
clay of
ACKNOWLEDGMENT UNDER OATH
SS
known to mc° to be the indivi.dtial who executed this release, and acknowledged that
contents and freely executed sante for the sole cont ideralion therein expressed.
CW bile: 195$591-Sfx$
carne
fully understood its
Notary Public
CW072