HomeMy WebLinkAbout20160819 Stamper Release 1946500RELEASE OF ALL CLAIMS
K IOW ALL, WN BY TI11',SE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of Three Hundred Ninety
and 001100 Dollars (5390.00) to be paid to Laurie Stamper do/does hereby and for my/our/its heirs, executors, administrators, successors and
assi ns release, acquit and forever discharge City of San Luis Obispo and his, tier, their, or its agents, servants, successors, heirs, executors,
adntiniytra(ors 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
hercafter accrue; oil accoiuit of or in any way growing out of any and all known and unknowns foreseen and unforeseen bodily and personal
injuries and property darriage and the consequences thereof resulting or to result from the accident, casualty or event which occurred on or about
the $°i day of,lune, 2016, at or near 1175 Murray Avenue, San Luis Obispo, CA 9:3405.
it is understood turd a�4rced that this settlement. is the Compromise of a doubtful and disputed claim, arid that the payment made is not to be
construed is 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 fi.11•1her 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:
`' 1512. Certain claims not all—celed 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 lime of executing the release, which if known by him must have materially affected
his settlement with the: debtor."
`Ihe undersigned hereby declare(s) and represent(s) that the injuries sustained are or may be permanent and progressive and that recovery
113crefrom is uncertain and irtdwfinite and in making this Release it is imderslood and agreed, that the undersigned refy(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
there employed.
'The undersigned further declares) and represent(s) that no promise, inducement or agreement not herein expressed leas been made to the
undersigned, and drat this Release contains the, entire agreement between the parties hereto, and that the terms of this Release are contractual and
not ter rime rccilal.
1 1wrQbt represent that at the time i sign this Release 1 ant not hospitalized in a medical facility nor was 1 admitted to a medical facility within the
past 15 days.
FH EUNDERSIGNED HAS R1 AD T1I L ABOVE ANDF[ 1,11,1- UNDERSTANDS IT TO ISL A FULL AND FINAL RE OF AI,L (A AIMS.
Signed, sealed arid delivered this day of r.,'� r
Witness to signature
�alns,;ti 10 ��ivjj'et� Y
Address of Wiliwss
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 Braes
and contitienierit in stat" prison.
Slate o('
(.01311ty Of
I3efiire mei this day of
ACKNOWLEDGMENT UNDER OATH
ISS
known to me to be the individual who executed this release, and acknowledged that
contents and freely executed slime for the sole consideration therein expressed.
(Itis' Fitt,: To Ile Assigned
cisme
fully understood its
Notary Public
AUG. 19 2016 (`W072
S'A91LIL211 S Op45po