Auto Accident Liability Release
Prepared by: [YOUR NAME]
This Auto Accident Liability Release ("Release") is entered into by and between [YOUR COMPANY NAME], a corporation/insurance company/individual with its principal address located at [YOUR COMPANY ADDRESS] ("Releasing Party"), and Samuel Graves ("Released Party").
This Release is intended to settle all claims and disputes related to an automobile accident that occurred on May 12, 2051. By signing this Release, the Releasing Party acknowledges and agrees to fully and finally release and discharge the Released Party from all past, present, and future claims arising from the accident.
Terms and Conditions of the Release:
1. Effective Date
This Release shall become effective as of June 1, 2051.
2. Description of the Accident
The accident occurred on May 12, 2051 at Main St. and 7th Ave., Los Angeles, CA involving the vehicles operated by [YOUR NAME] and Samuel Graves. The Releasing Party sustained damages, for which the Released Party and/or their insurance company has agreed to provide compensation.
3. Settlement Amount
The Released Party agrees to pay the Releasing Party a total amount of $12,500, which represents full and final settlement for all claims relating to the accident. The Releasing Party acknowledges receipt of this amount and agrees that no further claims can or will be made against the Released Party for the incident in question.
Party | Contact Information | Vehicle Involved | Insurance Information | Settlement Amount |
|---|
Releasing Party | [YOUR COMPANY NAME] | 2020 Toyota Camry | Carter Insurance #458923 | $12,500 |
Released Party | Samuel Graves | 2018 Honda Civic | Graves Insurance #654893 | $12,500 |
4. No Admission of Liability
This Release is made as a compromise and settlement of disputed claims. It does not constitute an admission of liability by the Released Party. Both parties acknowledge that the Released Party denies any liability or wrongdoing in connection with the accident.
5. Release of Future Claims
By signing this Release, the Releasing Party fully and completely releases and discharges the Released Party and their agents, representatives, insurance company, and any other related persons or entities from any and all claims, demands, damages, costs, and legal actions arising from the accident, including any unknown or unforeseen injuries, property damage, or losses.
6. Governing Law
This Release shall be governed by and construed in accordance with the laws of the state of California, without regard to its conflict of law provisions.
7. Entire Agreement
This Release contains the entire agreement between the parties with respect to the matters addressed herein. Any modifications or changes to this Release must be in writing and signed by both parties.
Signatures
Releasing Party
By: [YOUR NAME]
Title: CEO, Carter Insurance Solutions
Date: June 1, 2051
Released Party
By: Samuel Graves
Title: Individual
Date: June 1, 2051
Prepared by: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Phone: [YOUR COMPANY NUMBER]
Email: [YOUR EMAIL]
Website: [YOUR COMPANY WEBSITE]
Social Media: [YOUR COMPANY SOCIAL MEDIA]
This document has been executed as a full and final settlement agreement between the parties involved in the auto accident occurring on May 12, 2051. Both parties acknowledge and agree to the terms set forth above.
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