HomeMy WebLinkAbout20160418 Hough Release 1888179RELEASE OF ALL CLAIMS
KNOW ALL MEN BY TH.ESF PfZES17NTS:
That the Undersigned, being of lawful age, for sole consideration of One Thousand Eight
Hundred and 001100 Dollars ($1,800.00) to be paid to Anita Hough 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 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 10th day of June, 2014, at or near Osos Street and Palm Street in San Luis Obispo, CA.
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
constrned cv; an admission of 166ility ori the Dart of the phrty or pnrtiee 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 ten,itory 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
tl«:rcfran; is urc;crt-.1r, and indefinite and. in anak;r1.,- this R0ease it i�_rnnderstood.and agreed, that the undersigned relydes) wholly upon the
undersigned's judgment, belief nand 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. d
The undersigned fur -Cher 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 MEAD THE ABOVE, AND FULLY UNDERSTANDS ITTO BE A FULL AND FINAL RELEASE OF ALL CLAIMS.
/6Sig ed se � cd and � livered this - � day of
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Witness to signatures
A dress of Witness >— Signature
Wiuicss 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 he subject to fines
and co'atf newen't in :hale prison.
ACKNOWLEDGMENT UNDER OAT]]
State of
County of --- _—_-- SS
Before ane this day of � came
known to me to be the individual who executed this release, and acknowledged that Bally understood its
contents and freely executed same for the sole consideration therein expressed.
Notary Public
CW File: 1888179 9W CW072