HomeMy WebLinkAbout20180907_Archer Release 1984382Igo
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RELEASE OF ALL CLAIMS
KNOW ALL MEN BY TIMSSE PRESENTS:
Tharthe Undersigned, being of lawful age, for sole consideration of Six Hundred Twenty -
Five and 001100 Dollars ($625.00) to be paid to Fred P. Archer doldoes hereby and for my/oudits 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,bf 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 266 day of July, 2018, at or near 1525 Gathe Drive, San Luis Obispo, CA 93405.
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
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. 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 scuttlemeat 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
therefrom is uncertain and indet-utite 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 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.
T"E:D=) READ THE ABOYB AND FULLY UNDERSTANDS IT TO 13E A FUI.I. AND FINAL RELEASE OF ALL CLAIMS.
this day of ,
Aes to signature
Address of Witness Signature
Witness to signature
Address of Witness Signature
For your protection California law requires the following to appear on this fon n.
Arty parson w:�l:imwjrkgly pr6Eints a. false or fiaudulent.clahn for the. payment of a loss is -guilty of -a crime aml.ruay be subject:to fines
And amfinemn nt in state prison.
ACKNOWLEDGMENT UNDER OATH
State of
County of
Before me this
day of
} SS
came
known to me to be the individual who executed this release, and acknowledged that
contents and freely executed same for the.sble consideration therein expressed.
CW Pile: 1984382
fully understood its
Notary Public
CW072