HomeMy WebLinkAboutC-9684-1 - Release of All Bodily Injury ClaimsBouvier, Linda
Claim Number: 24-K000161
RELEASE OF ALL BODILY INJURY CLAIMS
1. The undersigned (herein referred to as "RELEASOR"), being of lawful age, for
the sole consideration of SEVEN THOUSAND FIVE HUNDRED DOLLARS and 0/100
($7,500.00), on behalf of him or herself, and his or her heirs, executors, administrators, successors,
assignees, assignors, subrogees, subrogors, subsidiaries, agents, firms, associations, trustees,
trustors, insureds, insurers, and any person or entity who may have a right, claim, or action on
behalf thereof (the undersigned and all foregoing parties herein collectively referred to as
"RELEASORS"), does hereby release, acquit, hold harmless, and forever discharge the City of
Newport Beach and its representatives, heirs, executors, administrators, trustees, successors,
affiliates, subrogors, subrogees, assignors, assignees, subsidiaries, agents, agents, employees,
officers, directors, attorneys, council members, firms, associations, volunteers, and insurers
(herein collectively referred to as "RELEASEES") from any and all claims, actions, causes of
action, demands, rights, damages, costs, loss of service, liens, attorneys' fees, costs, expenses and
compensation whatsoever (herein collectively referred to as "CLAIMS"),- which RELEASOR
now has, or may have, or which may hereafter accrue, arising out of, in connection with, related
to, on account of or in any way growing out of or stemming from any and all known and unknown,
foreseen and unforeseen, damage, as well as the consequences thereof resulting, or to result from,
the damage, injury, incident, casualty, or event which occurred on or about 10/09/2023 at or near
the North Bayfront Stairs on Balboa Island, Newport Beach, as more specifically referenced in the
California Government Tort Claim presented by or on behalf of the RELEASOR received by the
City on 3/11/2024 and amended California Government Tort Claim presented by or on behalf of
RELEASOR dated 7/19/2024, which is incorporated herein by this reference.
2. It is understood and agreed that this release is a settlement and compromise of a
disputed claim, and that the payment made is not to be construed as an admission of liability on
the part of RELEASEES.
3. RELEASOR hereby expressly waives all rights arising out of or related to unknown
CLAIMS under any and all common laws or similar laws of any state or territory of the United
States, including but not limited to, Section 1542 of the Civil Code of the State of California, which
provides the following:
"A general release does not extend to claims that the creditor or releasing
party does not know or suspect to exist in his or her favor at the time of
executing the release and that, if known by him or her, would have materially
affected his or her settlement with the debtor or released party."
4. This release is intended to, and RELEASOR warrants, that it will dispose of all
liability of RELEASEES to RELEASORS as a result of the damage claimed by the undersigned
involving the occurrence referred to herein.
Bouvier, Linda
Claim Number: 24-K000161
5. Should any CLAIMS be made by any person or entity for which RELEASEES may
be liable, directly or indirectly, arising out of, related to, connected with, or involving the damage,
injury, incident, casualty, or event identified herein, then to the extent such CLAIMS are based on
or arise out of RELEASOR'S CLAIMS released herein, RELEASOR agrees to defend, indemnify,
and hold harmless RELEASEES of and from any and all liability for such CLAIMS, including all
damages, liabilities, costs, expenses, and including but not limited to, attorneys' fees in defending
such CLAIMS.
6. RELEASOR hereby declares and represents that the property damage sustained is
or may be permanent and progressive and that recovery therefrom is uncertain, speculative, and
indefinite, and that in making this release it is understood and agreed that RELEASOR relies
wholly upon RELEASOR's sole judgment, belief, and knowledge of the nature, extent, effect, and
duration of said property damage, and liability therefor, and is made without reliance upon any
statement or representation of the party or parties hereby released or their representatives.
7. RELEASOR further declares and represents that no promise, inducement, or
agreement not herein expressed has been made to RELEASOR, 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.
8. RELEASOR understands that RELEASOR has the right to consult an attorney
regarding this release, and has either consulted an attorney, or has waived the right to do so.
9. Each person signing this release on behalf of a party hereto represents and warrants
that he or she is fully authorized to execute this release on behalf of the party on whose behalf such
individual has signed this release, and that by signing this release such party shall be bound by the
terms contained in this release.
10. This release may be executed in two (2) or more counterparts, each of which shall
be deemed an original and all of which together shall constitute one (1) and the same instrument.
[REMAINDER OF THIS PAGE BLANK]
Bouvier, Linda
Claim Number: 24-K000161
CAUTION: READ BEFORE SIGNING BELOW
THE UNDERSIGNED RELEASOR HAS READ THE FOREGOING RELEASE, FULLY
UNDERSTANDS IT, AND ENTERS INTO THIS RELEASE VOLUNTARILY.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date:_ Z 7/31Zo1 f/
By: C�e
4 .-Aaron C. Harp -► �a3�ay fl
City Attorney
ATTEST:
Date:
By:
Leilani I. Brown
City Clerk
CITY OF NEWPORT BEACH,
a California m,7icinal cop ration
Date: / • Y 7
By: 1--Y dv W III. -I`
Barbara J. Salvini
Human Resources Di
RELEASOR (Claimant)
Date:
Signature: ate
Print: CiO�r
Title: S\gr2
(Second signature when applicable)
Date:
Signature:
Print:
Title:
Releasor/Claimant must sign in the presence of a
notary public
3
Bouvier, Linda
Claim Number: 24-K000161
CAUTION: READ BEFORE SIGNING BELOW
THE UNDERSIGNED RELEASOR HAS READ THE FOREGOING RELEASE, FULLY
UNDERSTANDS IT, AND ENTERS INTO THIS RELEASE VOLUNTARILY.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date: 717 31261 f/
By: cam-`
4 rAaron C. Harp
City Attorney
ATTEST:
Date:
By:
Leilani I. Brown
City Clerk
CITY OF NEWPORT BEACH,
a California m TIT
co ,pf�ration
Date: `. �"� � f _
By: 1--V ry W 1Vt,°I1
Barbara J. Salvini
Human Resources Dir for
RELEAV (Clai ant)
Date: t4.
6-f
Signatu�
Print: 1 ,Il� aoc)�,'-er
Title:
(Second signature when applicable)
Date:
Signature:
Print:
Title:
Releasor/Claimant must sign in the presence of a
notary public
3
Bouvier, Linda
Claim Number: 24-K000161
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
VoeiDA
State of
County oyyfpA-tM ,q e (.4 ) /l
On i;,d 6 Z 1 f O? before me, 1.,-1le'u"i �, r't In r
(Insert name and ti le of Officer
personally appeared 11AJDA j� W jW 3E f tiV i who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal
Signature )9; 1 7�4
4al
GLENN LAUFE]2026
Notary Public, State oCommission# HH 2My Comm. expires Augus
ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
State of California
County of
On
before me,
(Insert name and title of Officer
personally appeared who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature (Seal)