HomeMy WebLinkAboutContracts & Agreements_74-2006_CCv0001.pdf RELEASE OF PROPERTY DAMAGE ONLY
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, being of lawful age, for the sole consideration of the sum of TWO
THOUSAND FIVE HUNDRED AND NO/100 DOLLARS ($2,500.00) to the undersigned in
hand pain, receipt whereof is hereby acknowledged, do/does hereby and for my/our/its heirs,
executors, administrators, successors and assigns release, acquit and forever discharge Gerald
John Zeller 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 thereafter accrue
on account of or in any way growing out of any and all known and unknown property damage
and the consequences thereof resulting or to result from the accident, casualty or even which
occurred on or about the 13th day of April, 2004, at or near State Street, east of Center, City of
Redlands, California.
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 releasees deny liability therefor and
intend merely to avoid litigation and buy their peace.
FOR YOUR PROTECTION, CALIFORNIA LAW REQUIRES THE FOLLOWING TO
APPEAR ON THIS FORM:
"IT IS UNLAWFUL TO:
(A) PRESENT OR CAUSE TO BE PRESENTED ANY FALSE OR FRAUDULENT
CLAIM FOR THE PAYMENT OF A LOSS UNDER A CONTRACT OF
INSURANCE.
(B) PREPARE, MAKE, OR SUBSCRIBE ANY WRITING, WITH INTENT TO
PRESENT OR USE THE SAME, OR TO ALLOW IT TO BE PRESENTED OR
USED IN SUPPORT OF ANY SUCH CLAIM. EVERY PERSON WHO
VIOLATES ANY PROVISION OF THIS SECTION IS PUNISHABLE BY
IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING THREE
YEARS, OR BY FINE NOT EXCEEDING ONE THOUSAND DOLLARS, OR
BY BOTH."
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY
UNDERSTANDS IT.
Signed, sealed and delivered this 18thdayof April
2006.
CITY OF REDLANDS
Witness
:r
By:
0
;------------ -Jon Harrison
Title: Mawr
City C r
RELEASE OF ALL CLAIMS
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, being of lawful age, for the sole consideration of the sum of ONE
HUNDRED THOUSAND AND NO/100 ($100,000.00) to the undersigned in hand paid, receipt
whereof is hereby acknowledged, do/does hereby and for my/our/its heirs, executors,
administrators, successors and assigns release, acquit and forever discharge Gerald John Zeller
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 of any and all known and unknown, foreseen and
unforeseen bodily and personal injuries, workers' compensation benefits, whether paid to date or
not, and the consequences thereof, and property damage and the consequences thereof resulting
or to result from the accident, casualty or event which occurred on or about the 13th day of April,
2004, at or near State Street, east of State Street, east of Center, City of Redlands, California.
The undersigned declare(s) that there are no liens of any sort, and in particular no lien for
any health care provider and/or governmental entity arising out of the subject incident. The
undersigned further declares, guarantees and agrees, to pay and satisfy any and all liens, should
there be any, whether currently known or unknown, and to fully protect, defend and hold
harmless releasees, Gerald John Zeller and Wawanesa General Insurance, and the law offices of
Klute&Newton, LLP, from any and all such liens.
The undersigned further declare(s) that they fully understand that the releasees Gerald
John Zeller, Wawanesa General Insurance and the law offices of Klute & Newton, LLP, are
relying fully and completely on the declarations of the undersigned, and their representations
regarding the issue of liens.
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 releasees 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 settlement 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 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, affect 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) 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.
FOR YOUR PROTECTION, CALIFORNIA LAW REQUIRES THE FOLLOWING TO
APPEAR ON THIS FORM:
"IT IS UNLAWFUL TO:
(A) PRESENT OR CAUSE TO BE PRESENTED ANY FALSE OR FRAUDULENT
CLAIM FOR THE PAYMENT OF A LOSS UNDER A CONTRACT OF
INSURANCE.
(B) PREPARE, MAKE, OR SUBSCRIBE ANY WRITING, WITH INTENT TO
PRESENT OR USE THE SAME, OR TO ALLOW IT TO BE PRESENTED OR
USED IN SUPPORT OF ANY SUCH CLAIM. EVERY PERSON WHO
VIOLATES ANY PROVISION OF THIS SECTION IS PUNISHABLE BY
IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING THREE
YEARS, OR BY FINE NOT EXCEEDING ONE THOUSAND DOLLARS, OR
BY BOTH."
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY
UNDERSTANDS IT.
Signed, sealed and delivered this 18thday Of—April 2006.
Attest: CITY OF REDLANDS
By:
Lore P6yze ,/ i y Clerk _� n Harrison
Title: Mayor
DATED: 2006
RICHARD JOSEPH BARNES
Witness
Witness
2
IU:18 FAX 9512759249 LJDFA
0004
RELEASE OF ALL CLAMS
For and in consideration of the payment of the sum of Two Hundred Fifty Thousand and
No/100 Dollars($250,000.00),the receipt and sufficiency of which is hereby acknowledged, WE,
RICUARD ORBAKERAND JAN ORBAKER,individually and jointly,do hereby release',acquit,
and forever discharge THE CITY OF REDLANDS and RICHARD JOSEPH BARNES, and their
employees, agents, representatives, servants, attorneys, assigns, firms, and/or insurance
companies, (hereinafter referred to as "the parties hereby released"), from any and all actions,
causes of action, claims,demands, damages, costs, loss of services, expenses, and compensation,
of whatever description, which we ever had, now have, or may hereafter may possess and/or
acquire against the parties hereby released on account of, or in any way arising and/or growing
out of a motor vehicle accident, occurrence, incident, happening and/or event, which occurred
on or about April 13, 2004, at or, near 617 West State Street, Redlands, California (hereinafter
referred to as "the incident"), including, but not limited to, any personal injury and/or damage
to our property, whether known or unknown, which we may have suffered as a result thereof_
This Release of All Claims extends to and includes all causes of action asserted, or that
could have been asserted, by us in that certain civil action entitled Richard Orbaker and ,Tari
Orbaker, etc, V, Richard Joseph Barnes, et al., pending in the Superior Court of the State of
California for the County of San Bernardino, Case Number SCVSS 121584, and we hereby
instruct our attorneys to provide the parties hereby released with a request for dismissal with
prejudice of that civil action, and of any other civil action we may have filed againstthe parties
i
es
hereby released arising out of and/or pertaining to the incident.
It is mutually understood and agreed that all rights are hereby expressly waived regarding
car ug
Section 1542 of the!Civil Code of California, which provides
"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
settlement with the debtor.
We hereby declare and represent that we understand that any injuries sustained by either
of us as a result of the incident may be permanent and progressive and that recovery therefrom
is uncertain and indefinite, and in making this Release of All Claims, it is understood and agreed,
that we rely solely upon our own judgment, belief, and knowledge of the nature, extent, and
duration of said injuries, and damages, and that we have not been influenced to any extent
whatsoever in roaking this release by any representations or statements made by the parties hereby
released regarding the nature and extent of said injuries and damages, and/or the duration of said
ur
injuries and damages-
FAX 9512759249 L_DFA
We hereby declare and represent that we have executed this Release of All Claims after
having received full Iegal advice as to our rights from our attorneys of our own choosing.
It is further understood and agreed that this Release of All Clazzzts zs a settlement and
compromise of a doubtful and disputed claim, and that the payment Of the considezatiort sued
herein-above is not to be construed as an admission of liability on the part of the parties Hereby
released, by whore liability is expressly denied.
This Release of All Claims contains the ENTIRE AGREEMENT between the parties
hereto, and the terms of this Release of All Claims are contractual and are not mere recitals.
We further state that we have carefully read this Release of All Claims in its entiretyd
know the its contents, and the same is hereby signed by us of our own free wilanl, and of our own
free consent,
DATE ?006
I IC ARD OR 3AKER
LATE: � 2006 F
JAN( RB
of All Claims: For your protection, California.law 11 requires the following to appear on this Release
(a) It is unlawful to:
(1) Knowingly present or cause to be presented any false or fraudulent claim
for the payment of a loss, including payment of a loss under the contract of insurance.
(2) Knowingly present multiple claims for the same loss or injury, including
presentation of multiple claims to more than one insurer, with an intent to defraud.
(3) Knowingly cause or participate in a vehicular collision, or any other
vehicular accident, for the Purpose of presenting any false or fraudulent claire.
(4) Knowingly prepare, make, or subscribe any writing, with intent to present
or use the same, or to allow it to be presented in support of any such claire,
(b) Every person who violates any provision of this section is punishable by
imprisonment in the ,state prison for two, three, or four years, or by fine not exceeding Ten
Thousand Dollars ( 10,OQQ), or by both.
RELEASE OF PROPERTY DAMAGE ONLY
KNOW ALL MEN BY THESE PRESENTS-
That the undersigned, being of lawful age, for tI
THOUSAND FIVE HUNDRED AND NO/100 DOLT
hand pain, receipt whereof is hereby acknowledged,
executors, administrators, successors and assigns rele
John Zeller and his, her their, or its agents, servants, s,
and all other persons, firms, corporations, association
claims, actions causes of action, demands, rights, dan
compensation whatsoever, which the undersigned nov
on account of or in any way growing out of any and
and the consequences thereof resulting or to result f
occurred on or about the 13th day of April, 2004, at
Redlands, California.
It is understood and agreed that this settlement is the compromise o, a
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 releasees deny liability therefor and
intend merely to avoid litigation and buy their peace.
FOR YOUR PROTECTION, CALIFORNIA LAW REQUIRES THE FOLLOWING TO
APPEAR ON THIS FORM:
"IT IS UNLAWFUL TO;
(A) PRESENT OR CAUSE TO BE PRESENTED ANY FALSE OR FRAUDULENT
CLAIM FOR THE PAYMENT OF A LOSS UNDER A CONTRACT OF
INSURANCE,
(B) PREPARE, MAKE, OR SUBSCRIBE ANY WRITING, WITH INTENT TO
PRESENT OR USE THE SAME, OR TO ALLOW IT TO BE PRESENTED OR
USED IN SUPPORT OF ANY SUCH CLAIM, EVERY PERSON WHO
VIOLATES ANY PROVISION OF THIS SECTION IS PUNISHABLE BY
IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING THREE
YEARS, OR BY FINE NOT EXCEEDING ONE THOUSAND DOLLARS, OR
BY BOTH."
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY
UNDERSTANDS IT.
Signed, sealed and delivered this 18thdayoft)
_Aril
,_1 2006.
CITY OF REDLANDS
Witness
By:
Jon
P-/
C,ty CHarrison
?V, Title: May
" _ r or--,
iv
RELEASE OF ALL CLAINIS
KNOW ALL MEN BY THESE PRESENTS:
That the undersigned, being of lawful age, for the sole consideration of the sum of ONE
HUNDRED THOUSAND SNL} NO/100 ($100,000.00) to the undersigned in hand paid, receipt
whereof is hereby acknowledged, do/does hereby and for my/our/its heirs, executors,
administrators, successors and assigns release, acquit and forever discharge Gerald John Zeller
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 of any and all known and unknown, foreseen and
unforeseen bodily and personal injuries, workers' compensation benefits, whether paid to date or
not, and the consequences thereof, and property damage and the consequences thereof resulting
or to result from the accident, casualty or event which occurred on or about the 13th day of April,
2004, at or near State Street, east of State Street, east of Center, City of Redlands, California.
The undersigned declare(s) that there are no liens of any sort, and in particular no lien for
any health care provider and/or governmental entity arising out of the subject incident. The
undersigned further declares, guarantees and agrees, to pay and satisfy any and all liens, should
there be any, whether currently known or unknown, and to fully protect, defend and hold
harmless releasees, Gerald John Zeller and Wawanesa General Insurance, and the law offices of
Klute&Newton, LLP, from any and all such liens.
The undersigned further declare(s) that they fully understand that the releasees Gerald
John Zeller, Wawanesa General Insurance and the law offices of Klute & Newton, LLP, are
relying fully and completely on the declarations of the undersigned, and their representations
regarding the issue of liens.
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 releasees 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 settlement 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 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, affect 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) 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.
FOR YOUR PROTECTION, CALIFORNIA LAW REQUIRES THE FOLLOWING TO
APPEAR ON THIS FORM:
"IT IS UNLAWFUL TO:
(A) PRESENT OR CAUSE TO BE PRESENTED ANY FALSE OR FRAUDULENT
CLAIM FOR THE PAYMENT OF A LOSS UNDER A CONTRACT OF
INSURANCE.
(B) PREPARE, MAKE, OR SUBSCRIBE ANY WRITING, WITH INTENT TO
PRESENT OR USE THE SAME, OR TO ALLOW IT TO BE PRESENTED OR
USED IN SUPPORT OF ANY SUCH CLAIM. EVERY PERSON WHO
VIOLATES ANY PROVISION OF THIS SECTION IS PUNISHABLE BY
IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING THREE
YEARS, OR BY FINE NOT EXCEEDING ONE THOUSAND DOLLARS, OR
BY BOTH."
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY
UNDERSTANDS IT.
Signed, sealed and delivered this 18thday of Aril fi 2006.
CITY OF REDLANDS
Attest:
By:
Lor( �e Poyzi - —�, n Harrison
e Poyze i y Clerk Title: Mayor
DATED: 12006
RICHARD JOSEPH BARNES
Witness
Witness
2
LIGASE OF AL,L CLAIMS
For and in consideration of the payment of the sum of Two Hundred Fifty Thousand and
No/100 Dollars($250,000.0 ),the receipt and sufficiency of which is hereby acknowledged,WE,
RICHARD ORBA .ER AND JAN ORBAKER,individually and jointly,do hereby release, acquit,
and forever discharge THE CITY OF R:EDLANDS and RICHARD JOSEPH BARNES, and their
employees, agents, representatives, servants, attorneys, assigns, firms, and/or insurance
companies, (hereinafter referred to as "the parties Hereby releasee)"), from any and all actions,
causes of action, claims,demands, damages, costs, loss of services, expenses, and compensation,
of whatever description, which we ever had, now have, or may hereafter may possess and/or
acquire against the parties hereby released on account of, or in any way arising andior growing
out of a motor vehicle accident, occurrence, incident, happening acid/or event, which occurred
on or about April 13, 2004, at or near 617 West State Street, Redlands, California (hereinafter
referred to as "the incident"), including, but not /united to, any personal injury and/car damage
to our property, whether /mown or u wn, which we may have suffered as a result thereof_
ya
This Release of All Claims extends to and includes all causes of action asserted, or that
could have been asserted, by us in that certain civil action entitled Richard Orbak:er and Jan
Orbaker, etc. v, Richard Joseph Barnes, et a[., pending in the Superior Court of the State of
California for the County of San Bernardino, Case Number SCVSS 121554, and we hereby
instruct our attorneys to provide the parties hereby released with a request for dismissal with
prejudice of that civil action, and of any other civil action we may have filed against the parties
hereby released arising out of andlor pertaining to the incident.
it is mutually understood and agreed that all rights are hereby expressly waived regarding
Sectiotl 1542 of the Civil Code of California, which provides.
"A general release does not extend to claims which the creditor does
not blow or suspect to exist in his favor at the time of executing the
release, which if knower by him must have materially affected his
settlement with the debtor.
i
i
We hereby declare and represent that we understand that any injuries sustained by either
of us as a result of the incident may be permanent and progressive and that recovery therefrom
is uncertain and indefinite, and in making this Release of All Claims, it is understood and agreed,
that we rely solely upon our own judgment, belief, and knowledge of the nature, extent, and
duration of said injuries, and damages, and that we have not been influenced to any extent
whatsoever in making this release by any represeatations or statements made by the parties hereby
released regarding the nature and extent of said injuries and damages, an /or the duration of said
iijuries and dairiages-
03,'08,,2006 16:19 FA-k 9512759249 LJDFA
We hereby der-lare and represent that we have executed this Release of All Claims after
having received &11 legal advice as to our rights from our attorneys of our own choosing.
It is further understood and agreed that this Release of All ClilMs is a settlement and
Compromise of a doubtful and disputed claim, and that the payment of the consideration stated
herein-above is not to be construed as an admission of liability on the part of the parties hereby
released, by whom liability is expressly denied,
This Release of All Claims contains the ENTIRE AGREEMENT between the parties
hereto, and the terms of this Release of All Claims are contractual and are not mere recitals.
We farther state that we have carefully read this Release of All Claims in its entirety and
know the its contents, and the same is hereby signed by us of our own
free will, and of our own
free consent,
j/
DATE: . .,)006
RICITARD ORBAKER
DATE: 2006
;� � f;
o4
JAN' ORBAkEk
For your protection, California lau requires the fbllowlk�to appear on this Release
of All Claims:
(a) It is unlawful to:
(1) Knowingly present or cause to be presented any fake or fraudulent claim
for the payment of a loss, including payment of a loss under the contract of insurance.
(2) Knowingly present multiple claims for the same loss or injury, including
presentation of multiple claims to more than one insurer, with an intent to defraud.
(3) Knowingly cause or participate in a vehicular collision, or any other
vehicular accident, for the purpose of presenting any false or fraudulent claim.
(4) Knowingly prepare, make, or subscribe any wTiting, with intent to present
or use the same, or to allow it to be presented in support of any such claim.
(b) Every person who violates any provision of this section is punishable by
imprisonment in the state prison for two, three, or four years, or by fine not exceeding Tera
Thousand Dollars (SIO,000), or by both,