HomeMy WebLinkAboutAgreement_General_9/15/2020_Blair & CompanyClaim # 58158 MWR
RELEASE OF ALL CLAIMS
That the Undersigned, being of lawful age, for sole consideration of Eighty Three Thousand Nine Hundred Ninety One and
1 I / 100 Dollars ($83,991.11) 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 JSP Solutions
LLC and those Certain Underwriters at Lloyd's, London, who subscribe severally and not jointly to policy number
CIBFL0050924 and Chubb Group of Insurance Companies, Mas Tee Network Solutions, Mas Tec Inc., Mas Tee North
America, Ace American insurance Company, MCI, ESiS Inc., Verizon, JMP Power, Standard Optic General Services
Corp., Fiber l Communications Inc. 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 property damage and the consequences thereof resulting or to result from the accident, casualty or event which
occurred on or about the 25"' day of in the year of 2020 at or near the roadway intersection of US Route 1 and Tequesta
Drive in the Village of Tequesta Florida.
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
released parties deny liability and intend merely to avoid litigation and buy their peace.
The undersigned hereby declare(s) and represent (s) that the injuries sustained are or may be permanent and progressive and
that recovery there from 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.
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 terms of
this Release are contractual and not a mere recital.
THE N ERSIGNE HAS READ HE FOREGOING RELEASE AND FULLY UNDERSTANDS IT.
00,
Si(In• ure Print Name: Mayor Abigail Brennan
V Ila e equesta r
Signed, sealed nd delivered this day of 4--JP1 in the year of 20 Z0
CAUTION: READ BEFORE SIGNING BELOW
NOTARY:
State offlC1 Gl. County of
On this day of — in the year of ZAA before me appeared
who is known to be the person(s) na)ned herein and who voluntarily executed this release.
Notary Signature Date Commission Expires Zr02
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KELLEY FQNUEAU
Commission # GG i3255S
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