HomeMy WebLinkAbout20190502_Patterson Releaseto RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
n That the Undersigned, being of lawful ago, for sole consideration of One Hundred Fifty -
0 Rive and 54/1000 Dollars ($15. 5.54) to be paid -to Clens Patterson do/does hereby and for my/our/its heirs, executors, administrators,
CO) successors and assigns release, acquit and forever discharge the City of San Luis Obispo and his, her, their, or its agents, servants,
y successors, heirs, executors, administrators and all other persons, firms, corporaiions. associations.or partnerships of and from any and
Z all claims, actions, causes of action, demands, rights. damages, costs, loss of serviCc, expenses and compensation whatsoever, which the
RI undersigned now-hag/have or which may hereafter accrue on account of or in any way growing out of any and all known and unknown,
D 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 12" day of March_ 2019, at or near 863 Chorro Street San Luis Obispo, CA.
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< 1t 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.
,.a
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 that the 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 his or her
settlement with the debtor or released party,"
The undersigned hereby declare(s) and represents) 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
physicia-b-br'surgeon'by tlil employed. ,
t. �, s.. r• Lr
The undersigned ftir-tlier'd'eclare(s) and represent(sj that no promise, inducemerii or agreement not herein expressed has been made to
Hie undersigned, and that this Release contains the entire agreement between the parties hereto, and that the terms of ft 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 it medical facility
within the past 15'days.
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 h day of _ `�`� i r "`-� 47.
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Witness = Pri ted Name
Witness S' tare
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Address of Witness
'Address of Witness
For-yoar protection California law requires the following to appearon this form.
Your Signature
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 conknement in prison.