HomeMy WebLinkAbout20181031 Imrem Release 1984966RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of Two Thousand Eight
Hundred Sixteen and 60/100 Dollars ($2,816.60) to be paid to San Luis Customs, Inc. on behalf of Diane Imrem do/does hereby and for
my/our/its heirs, executors, administrators, successors and assigns release, acquit and forever discharge City of San Luis Obispo, California and
Colt Turpin and his, her, their, 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 23" `t day of August, 2018, at or near 3165 Broad Street, San Luis
Obispo, CA 93401.
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 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 States 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 tithe of executing the release, which if known by him must have materially affected
his settlement with the debtor."
The undersigned hereby declare(s) and represent(s) that the injuries sustained arc or may be permanent and progressive and that recovery therefrom
is uncertain and indefinite and in making this Release it is understood and agreed, that the undersigned rely(ics) 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 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 herein expressed has been made to the
undersigned, and that this Release contains the entire agreement between the parties hereto, and that the ten -ns of this Release are contractual and
not a mere recital.
I hereby 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.
THE UNDERSIGNED HAS READ THF ABOVE. AND FULLY UNDERSTANDS IT TO BE A FULL AND FINAL RELEASE. OF ALI, CLAIMS.
Signed,,sealed and ivered this 1t,-1 / day of ,
Address of Witness Signature
Witness to signature
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 crime and may be subject to fines and
confinement in state prison.
State of
County of
Before me this
day of
ACKNOWLEDGMENT UNDER OATH
}SS
known to me to be the individual who executed this release, and acknowledged that
contents and freely executed same for the sole consideration therein expressed.
CW File: 1984966 - Imrem
came
fully understood its
Notary Public
CW072