HomeMy WebLinkAbout20190228 Villarete Release 1991489RELEASE OF ALL CLAIMS
KNOW.QLL M.F BY THESE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of Six Hundred Eighty -
Seven and 04/100 Dollars ($687.04) to be paid to Rainbow Auto Paint & Body, Inc. on behalf of Kaden Villarete do/docs hereby and for
my/ourrts 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 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 19`s day of February, 2019, at or near Emily Street behind the San Luis Obispo Fire
Department at 2160 Santa Barbara 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 arc 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 declares) and represents) that the injuries sustained are or may be permanent and progressive and that recovery therefrom
is uncertain and indefinite and in malting 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 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 declares) and represents) 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 AB D� LY UNDERSTANDS
IT TO BE A FULL AND FINAL RELEASE OF ALL CLAIMS.
Signed, sealed and delivered this day of
Witness to signaturewz�
Addres% of Witness Signature
NA. l a 1-066' �-erJ
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.
ACKNOWLEDGMENT UNDER OATH
State of
County of } SS
Before me this day of
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.
came
fully understood its
Notary Public
CW File: 1991489 CW072