HomeMy WebLinkAbout20190522_ Marple ReleaseRELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE'PRESENTS:
That,the Undersigncd, being of lawful age, for sole consideration of Two Thousand One
Hundred Fiftv�Six and 73/100 Dollars ($2.1.56.73) to be paid to Randall Marple doldoes hereby and for my/ourfits heirs, executors,
administrators, -successors and assigns release, acquit and forever discharge the City of San Luis ObigRo, 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 haslhave 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 61' day of May, 2019at' or near 11175 Los Osos Valley Road
(LAguna Lake Golf CouWj, San Luis Obispo, CA 93405.
It is understood and agreed that this settlement.is the compromise of a doubtful and disputed china„anti that thapayment 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 are hereby expressly waived. Said section reads- as follows.
"1542: A general release does not -extend to claims thatthe creditor or releasing party does not know or suspect to exist in his
or her favor at the time of executing the release and that, if known by him or her, would have materially affected lus or her
settlement with the -debtor or released party.”
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 duration of said injuries and liability therefor and is
made without reliance upon any statement or representation of the patty 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; induccment or -agree -pent, nol:.hcrein-expressed -bas hecti '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 adinitted to a medical facility
within the past 15 days.
THE UNDERSIGNED HAS READ THE ABOVE AND FULLY UNDERSTANDS IT TO BEA FULL.AND FINAL RELEASE
OF ALL CLAIMS.
Signed, sealed and delivered this 2— '2 day of/ .Z49% J
r
Witness —Printed Name
Witness Signature our SignatuM
Address of Witness
Address of Witness
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.