HomeMy WebLinkAbout20190117 Thomas Release 1988107• Q. ...• �� '. +.•'t r• .
RELEASE OF ALL CLAMS
KNOW ALL MEN BY THESE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of Four Thousand Ninety
Five and 00/100 -Dollars ($4,09S.00) to be paid to Lyle Thomas do/does hereby -and for mylourfits heirs, executors, administrators, successors and
assigns release; acquit iutd forever discharge City of San Luis 'Obispo, California. 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 91 day of November, 2018, at or near the intersection of Broad Street -and Santa Barbara Avenue, San Luis Obispo, CA 93401.
It is understood -and agreW—that this settlemenris the compromise of a doubtful and disputed claim, and that the payment made is notto be construed
as an admission of liability on the part of the party or parties hereby released, -arid 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 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(les) 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 ieliance 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.
THEUNDERSIGNED HAS READ THE ABOVE AND FULLY UNDERSTANDS IT TO BEA FULL AND FINAL RTLEASE OF ALL CLAIMS.
Signed,.se4led and qpvered this 15 da of _ 14AI 'iA,•t •� �l 9
& y---
Address of Wiiness Signature
Witness to signature
Address -of Witness
Signature
For your protection California law requires the following to appear on this form.
Any person who,knowingiy 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.
ACKNOWLEDGMENT UNDER OA'T'H
State of
County of jgd& -4
J/.T ;S ®4. SS
Before me this J S 274- day of/q�/�it L `� cameAT
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: 1988107
fully understood its
Notary Public
CWo72