HomeMy WebLinkAbout2009-299 TR Clseaseo rt MAr Property Damage Release
Claim Number: E2595689 IE a
FOR AND IN CONSIDERATION of the payment to me/us at this time of the sum of777
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seven thousand six hundred and eighty -six and 65/ 100 Dollars ($7 , 686 . 65 ) , the receipt of which is
hereby acknowledged , I /we being lawful of age , do hereby release , acquit and forever discharge
WARDEN CONSTRUCTION INC , , CONTINENTAL CASUALTY COMPANY , their agents
and our employees and all other persons , firms and corporations who might be liable of and from
any and all actions , causes of action , claims , demands , damages , costs , loss of services ,
expenses and compensation , on account of , or in any way of growing out of , any and all know
and unknown property damage resulting or to result from accident that occurred on or about
07/01 /2009 at or near ZQQT RIERGE , _ l ('d 1 / 1& .. 440Q +4e4 V r�ar +P4 C/ e4=
I /we hereby declare and represent that the property damage sustained is permanent and that (/
recovery therefrom is uncertain and indefinite , and in making this release and agreement it is
understood and agreed that I /we rely wholly upon my/our own judgment , belief and knowledge of
the nature , extent and duration of said property damage , and that I /we have not been influenced
to any extent whatever in making this release by any representations or statements regarding
said property damage , or regarding any other matters , made by the persons ; firms or
corporations who are hereby released , or by any person or persons representing him or them .
It is further understood and agreed that this settlement is the compromise of a doubtful and
disputed claim , and that the payment is not to be construed as an admission of liability on the part
of WARDEN CONSTRUCTION INC , , CONTINENTAL CASUALTY COMPANY , their agents
and/or employees by whom liability is expressly denied .
I /we further agree that this release shall not be pleaded by me/us as a bar to any claim or suit .
This release contains the ENTIRE AGREEMENT between the parties hereto , and terms of this
release are contractual and not mere recital .
I /we further state that I/we have carefully read the foregoing release and know the contents
thereof , and I /we sign the same as my/our own free act .
( Signature)
Peter U . 0 B , yan , Chairman CAUTION : READ BEFORE SIGNING
( Signature) Date November 17 . 2009
(Signature)
STATE OF Florida COUNTY OF Indian River
This instrument was acknowledged before me on the 17 day of November
2009 by Peter D . O ' Bryan , Chairman
Notary PublicreRRl �!! R APPROVED AS TO FORM
NZ0308F1 * * MY COMMISSION 100809787 AND LEGAL SUFFICIENCY
EXPIRES: October 30, 2010 j
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Bonded rnruBuds NougSwhs QY
WILLIAM G . COLLINS II
COUNTY ATTORNEY