HomeMy WebLinkAbout20171205 Campmas Release 1972081RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of One 'Thousand Eight
Hundred Eighty -Nine and 62/100 Dollars ($1,889.62) to be paid to Kari Campmas and Caliber Collision do/docs hereby and for my/our/its
heirs, executors, administrators, successors and assigns release, acquit and forever discharge City of San Luis Obispo, California and his, her,
[heir, or its agents, servants, successors, heirs, 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 account of or in any way growing out of any and all known and unknown,
foreseen and unforeseen bodily and personal injuries and property damage and the consequences thereof resulting or to result from the accident,
casualty or event which occurred on or about the 301° day of September, 2017, at or near Laguna Lake Golf Course, 1175 Los Osas Valley
Road, San Luis Obispo, CA 93405.
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 he
construed as an admission of liability on the part 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 territory of
the United Stales 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 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
his settlement with the debtor."
The undersigned hereby declare(s) and represem(s) Char the injuries sustained am or may be permanent and progressive and that-ro xwery --
therefrom is uncertain and indefinite and in making this Release it is understood and agreed, that the undersigned mly(ies) wholly upon the
undersigned's judgment, belief and knowledge 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 pany or panics 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 herein 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.
1 hereby represent tial at the time I sign this Release I am not hospitalized in a medical facility nor was 1 admitted to a medical facility within the
past 15 days.
To UNDERSIGNED HAS READ THE ABOVE AND FULLY UNDERSTANDS t"t"1'O BE A FULL AND FINAL RELEASE OF ALL CLAIMS.
Signredthis day of Z'-7lad
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Address of Witness Q Signa are
Witness to signature
For your protection California law requires the following to appear on this form.
Any person who knowingly present" false or fraudulent claim forthepayment of a loss is guilty of crime and may be subject to lines
and confinement in state prison.
ACKNOWLEDGMENT UNDER OATH
State of
County of
Before me this day of
} SS
came
known to me to be the individual who executed this release, and acknowledged that fully understood its
contents and freely executed same for the sole consideration therein expressed.
cwFile:tvn_Dsl CARL WARREN&CO Notary Public
72
DEC 05 m7
SAN Luis OB sp0, CA