HomeMy WebLinkAbout20181214 Knuckles Release 1985648RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
.. That, the Undersigned, being of lawful age, for sole• consideration of. One Thousand Six
1 'Hundred and 00/100' Dollars ($1,600:00) to be paid to Shirley Knuckles do/dotes 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, their, or its. agents; servants:
successors, heirs, executors, administrators and altother persons; firms, corporations, associations or partnerships.of and -from atiy-and all claims,
t actions, causes of action; demands, rights, damages, costs; loss of-service,•expenscs And compeissation 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 anis personal injuries and property damage and the consequences thereof resulting or to result from the accident, casualty or event which
1 occurred on- or about'the 27tt' day of August, 2018, at or near 780 Meineke Street, San Luis Obispo, CA 93405.
1
1 It is understood and agreed that -this settlement is the compromise of a doubtful and'disputed claim, and that the payment made isnot to be construed
i 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 ofthe Civil Code of California and any similar law of any state or territory of
i 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 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 represent(s) that the injuries sustained are, 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(ies) wholly upon the undersigned's
judgment, belief and knowledge of the. nature, extent,. effect, and dumflon-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 terms 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 THE ABOVE'AND FULLY'UNDERSTANDS'IT TO BE A FULL AND FINAL RELEASE OF ALL %Aiw.
SigXiedd,,sealed and delivemdday of.
.
Witness msiguat •
157
5 nature
Witness to signature -
Address of Witness -
Signature
For -your protection CdHfornia law requires the. following to appear on this form.
Any person who knowingly presents a false or fraudulent claim forthe.payment of a loss is guilty of crime -and may be.subject to fines and
confinement in state prison..
ACKNOWLEDGMENT UNDER OATH
.State of
County of._.:_
Before me this
.day of
Iss
came
known -to me to be the individual who executed this release, and acknowledged that
contents and frccly czccuted same for the sole consideration therein expressed.
CW File:.1985648_
fully understood its
Notary. Public
CW072