HomeMy WebLinkAboutContracts & Agreements_88-2019RELEASE IN FULL SETTLEMENT AND COMPROMISE
OF PROPERTY DAMAGE
Uwe claim to have sustained damage and/or consequential damage to mylour property by
reason of an occurrence happening on or about February 23, 2018 [/we claim that ARMAND
ACEN HABAL, ROBYN DELGADO, and all others legally responsible for his/her/their acts and
omissions; if any, (hereinafter called "Releasees"), are legally liable therefor, which liability is
denied by Releasees
The nature, extent and results of the property related damages sustained by me/us are not now
all known or anticipated, but Itwe nevertheless desire to settle and compromise said claim(s) in
full
Therefore, in consideration of the payment to me/us of Thirteen Thousand One Hundred Ninety -
Six Dollars and Forty -Eight Cent ($13,156.48), of which Ilwe acknowledge receipt, I/WE
HEREBY RELEASE, DISCHARGE AND ACKNOWLEDGE AS FULLY PAID AND
COMPROMISED, ALL CLAIMS, DEMANDS AND CAUSES OF ACTION which Ilwe may now
have or may hereafter have against the Releasees, their legal representatives or successors, to
recover for damage to mylour property, including the total loss of or the loss of use of mylour
property, and including consequential damage thereto
1/WE UNDERSTAND THAT NO PAYMENT OR CONSIDERATION OTHER THAN THE ABOVE
HAS BEEN PROMISED ME/US OR WILL BE PAID TO MEIUS FOR PROPERTY RELATED
DAMAGE.
IIWE UNDERSTAND THAT THIS PAYMENT CONSTITUTES THE. FULL PAYMENT AND
COMPLETE SATISFACTION OF ANY CLAIM WHICH I/WE NOW HAVE OR MAY
HEREAFTER HAVE FOR DAMAGE TO MYIOUR PROPERTY
Executed this ! ai day of MAY 2, at �l�
READ CAREFULLY BEFORE SIGNING
Signature ��—'— Print Name Denise Davis M
Signature Print Name Jeanne Donaldson
ATTEST City Clerk
NOTE .1=0R YOUR PROTECTION, :CALIFORNIA .LAW REQUIRES THE FOLLOWING TO
APPEAR ON :THIS ' FORM ANY PERSON tNHO 'KNOWINGLY PRESENTS A FALSE OR
FRAUDULENT CLAIM FOR THE :PAYMENT OFA LOSS IS GUILTY OF A CRIME, AND MAY:
13E SUBJECTTO,FINES ANDCONFINEMENT iN,STATE.:PRISQN
Insured Name Armand Acen Habal Claim Number 013172027
Release No. CCO216
Raw Ed. 0017=16