HomeMy WebLinkAbout20190911_ Todd ReleaseRELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
That the Undersigned, being of lawful age, for sole consideration of Two Thousand Five
Hundred and (]0/140Dollars ($ 52, Q0.0p) to be paid to Richard Todd do/does hereby, and for my/our!its heirs, executors, administrators,
successors and assigns- release, acquit and forever discharge the ffty of SanLuia Obispo 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 ofany -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 2711 day ofuT ly. 2019at or near- 377 Jeffrey Drive San Luis gkispo, CA.
It is understood and agreed that this settlement is tate 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 panics hereby released, and that said releases deny liability therefor
and intend merely to avoid IAigatiun and buytheir'peace. - --"
Itis 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:
•i
"1542:-A.genera lease does riot; extend -(b claitn6-that thealreditor yrreleasi
ng°party clUes.zsot: now or su5pect.ta exist In his
or hisr favor at t c time bf`executing the release and Chit, if -known by him or her, would have inaterially affected his 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 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 lime .I sign this Release I awn not hospitalized in a medical facility nor was I admitted to a medical facility
within the past 15, clays.
THE UNDERSIGNED HAS READ THE ABOVE AND FULLY UNDERSTANDS IT TO BE A► FULL AND FINAL.RELEASE
OF ALL CLAIMS.
Signed, sealed and delivered this _�� day of 0,
Gkq !9a EZ_
Witness — Printed Name
Witness: Signatu
Address of Witness
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Address of Witness
Your Signature
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For your protection California law requires tate following to appear on this form.
Any person ,who.knowingly. presents a false or fraudulent claim for the paymeni of a loss is guilty of a crime and maybe subject to fines
-and confinement in-state prison,