HomeMy WebLinkAbout20171109 Broders Release 1969397RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
That the Undersigned, beim of lawful age, for sole consideration of Two Thousand Twenty -
Three and 211101) Dollars ($2,023.21) to he paid to Dennis & Wendy Broders dolcloes hereby and for nrylourlits heirs, executors,
administrators, successors and assigns release, acquit and forever discharge City of Salt I-A&S Obispo, California and his, her, their, or its agents,
wrvanls, successors, heirs, executors, administrators and all other persons, firms,.eotporations, associations or partnership,, of ,and front any and
all clahus, actions, causes of action, dentands, rights, damages, costs, loss of service, expenses and compensation whatsoever, which the
under,dgned now has/have or which may hereafter accrue on account of or in any way growing out of any and all known and unknown, foreseen
and trnforeseon bodily and personal injurics and property damage and the cortseyuenc.e=s ther00f resul.t.ing or to result from the accident, casualty or
event which occurred on or about the 8n' day of July, 2017, at or near 2695 Meadow Street, San Luis Obispo, CA 93401.
It is understood ;tad agreed that this settlement is the compromise of a doubtful and disputed claim, and that the payment made is not to be
construed as all ndntis ion of liability on the part of the party or parties hereby released, and that said rcleww, deny liability therefor and irotenri
rneri,ly to avoid litigation and buy their peace.
It is further uiidtrSl00d and agreed that all rights under Section 1542 of the Civil Code of C,,"alifornia and any similar law of any state or territory of
the llniled States are hereby expresty waived. Said section reads a.s follows:
"1 i42. Certain c-launa not affected by general release. A general release does not extend to claims which tits: c:rethtor does not
know or suspect to exist in his favor at the time of cxccuting the rele.aw, which if known by him roust have rnatcerially affected
his settlement Nvith the debtor
The undersigned hereby declare(s) and reprusenl(s) that the injuries sustained are or may be pennanettt and progressiva, and that recovery
thtrc',front is uncertain and inclefini.le and in making this Release it is understood and agreed, that the undersigned rely(i(-,)wholly upon the
trrrder;igned's juclginent, beliefand knowledge of the nature, extent, effect, and duration ol'said injuries and HaNlity Therefor and is made without
reliance upon any stateme rif or representation of the patty or parties hereby role.ased or their representatives or by any physicinia or surgeon by
them employed.
The undersigned further declares) and represent(s) that no promise, inducerrtent or agreement not herein expressed has been made to the
undersigned, ;and that this Release contains the entire agreeme=nt between the parties hereto, and that [lie tetnis sof this Relc a.sc are contractual and
not a mere recital.
I hereby represent that at file time I sign this Release 1 ant not hospitalized ill a medical facility nor was I admitted to a medical facility within the
pars! 15 days.
THE IiNDERSIGNED HAS READ'1 iIE ABOVE AMD Ful.LY UNDERSTANDS IT To BE A FULLAND FINAL, RELEASE OF ALL (LAIMS.
Signal, seeded and delivered this clay of 1f c-�--011s i 1-7-41 `—
Wiuoess k) signature
Acklress of ;ss Signature.
�� ,5111.43 1i ITlilrB]"e'
Address of wilne?ss Signatur
For your protection California law regttires the follo*, g to appear on this form.
Any person who knowingly press ills at false or fraudulent claire for the payment of a loss N guilty of a crime and may be sutaje.ct iv fines
M)d confinement in state prison.
State of
C'ornity of
Before ate: this
day of
ACKNOWLEDGMENT U.NDE"R OATH
SS
known to me to be file individual who executed this release, and acknowledged It
csrrtle?tits and freely executed same for the sole consideration therein expresS�
fully understood its
°)` ` NotaryPublic
CAU rile: 1069397 Cw072