HomeMy WebLinkAbout20170609 DeSmith-Sfx2 Release 1958591RELEASE OF ALL CLAIMS
KNOW ALL MENRY THESE PRBENTS.-
'Mat the Undersigned, being of lawful age, for sok Consideration of Five Hwuhvd Stve'3ty'
Fight and 6W100 Dollars ($578A) to be paid to Jenna DeSmith doldoes hereby mrd for my/oudits heirs, executors, a, ounistratoN. sucmsOn
omit assigns release, acquit tuid forever discharge City of Fin Luis Obispo, Callfoluia afid his, her, their, or its agentA, savants, jucw-ssori, heirs,
"ecutots' administrators and all other persons, firms, corporation.,;, a"ociati(snq or partnerships of and from any and all claims, actions, causes of
action, demand $, fights, damages, Costs, loss of service, expenses and compensation whatsoever, which the undersigned now has/have or which
may hereafter accrue on account of or in any way growing out of any and all known and unkmwn, futeseen and unforeseen bodily and persoaftl
injuries and pmporty danage and tile consequences therimf resulting or to result from tile accident, casualty or event which occurred on or about
the 17th day of March, 2017, kit or acat FmdericksStrut, San Luis Obispo, CA 93415.
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
cot'strued as an admission of liability on the part of the patty or padjai hereby released, and that said release.,,, deny liability therefor and intend
Me.mly to avoid litigation and buy their peace.
-it is ftrrther understood mid agreed that all rights unclear Section 1542 of the Civil Code of C te it rY Of
I alifornia and any similar law of any state or -Mo
the Vaitird States are, hecby expressly waived. Said section reads as follows:
"1542. CertaincJaims not affected by general release, A gcneral releast rhes not extend to claims wbich the creditor does not
know or suspect to exi'qt in his favorat the tittle, of executing the mjexae, which if Wow-st by him must have WatcriallY affected
his settlement with tho, debtor." I
Tbe trudersigned hereby declare(s) and tepwsint(s) that the injuries staqairjed are or may be permanent and progressive and that recovery
therefrom is uncertain and indefinite and in making this Release it is unAh poll the
derstood and agreed, that thr, U;1(100ign I TV4003) Wholly u
Undersigned's judgment, belief and knowledge of the p.atute., extent, effect, and duration of'qaid injuries and liability thorcfor and is made without
reliance upon arty statement or reeprt�,,vwation of the party or parties biro by releasvd or thek or by any physician or Surgeon by
tom ernployiA.
The undersigned further declare(s) and represent(s) that ti.o prornise, inducewcot ot agreoln'%I, not iwrrin oipressed has been made to the
andersigaed, And that this Rellmse conWris the eatire Agrectilent betweva the parties htreto, and that the terms oftbis Rebntse wv eontractoal and
nota mere rccital.
I hereby rqresemt- that At the ting. I sign this Rolcw�o I raw not hospilafi;ted in a mtdical facility ljcsr wets I ,id"litted to a medical facility within the
past 1.5 days,
THE VNDERSIGN90 14AS RRkD THE At OVF AND F1 ILY JYJQ)RST,,kNDS ff To OF A RYU, AND FINAL RIAF-kSF OF ALL CI AIMS.
11,
Signed, seated and delivered ibis 'd.iy of L"—�
7ddre"'e of Wilm"vq
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Xvitnt"ss 10
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Addms of Wimess
For your prosection California law requifts the f*1110wift 00 VPOar tat this forin.
Any person who knowingly presents a J'alse of fhqodul�"nt Claim for the pilymerit of a loons i,,; guilty of as ciirw-, and may be, subjeetto fines
and confinement in state prisom
A('KNOWLEDGMENT UNDFR CATH
State of
County of
Before me fllis day of MOW
kno,om to me to be the individual who executed this release, and acknowlcdged that fully understood its
contents and freely executed same for dw sole caniid"ation therein expreswd.
.... .. .. .. . Notary Public
0V rile; 1.959591 -SW CW()72