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5, 1 represent that 1. have not died any complaints or charges (other <br />than the Action referenced. above) against the Releasees with. any local, state or <br />federal agency or court; and that if any such agency or court assumes <br />Jurisdiction of any complaint or charge against the Releasees and/or their <br />predecessors, successors, heirs, or shareholders, officers, directors,, agents, <br />Police officers, attorneys, subsidiaries, or corporations or organizations, <br />whether previously or hereafter affiliated in any maalner, on behalf of myself, <br />whenever filed,l will t•ecluest such agency or court to withdraw and dismiss the <br />matter forthwith. <br />G. 1 acknowledge that r am responsible for any and all liens arising <br />from„ based upon, or relating to the Incident, incic.rdiug without limitation, any <br />and all MEDI -CAR1s and' 'or AIEDI -CAT, liens for iniw)- - related services paid <br />by the corresponding State programs, Talus any a.nd all other liens against me <br />related to my claims in this action. <br />7. 1 agree to indemnify road defend the Releasees, their officers, <br />Police officers, agents and employees, against, and will hold and save there and <br />each of them harmless from, any and all third party actions, suits, claims, liens, <br />damages to persons or property, losses, costs, penalties, obligations, or <br />liabilities, including any and all hcaltheare provider liens, that may be asserted <br />or claimed by any person, firm or entity against the settlement proceeds being <br />paid to the render this Release. <br />S. The undersigned does hereby affirm and acknowledge that she, has <br />read the foregoing release, or had it fully explained to her and fully understands <br />and appreciates the foregoing words, terms, and their effect, anal that this is a. <br />full and final cornpmmise, release and settlement of all claims, demands, <br />ac.tians or causes of actions known or unknown, suspected and unsuspectcd• <br />9. This release extends and applies to all untmown, unsuspected and <br />unanticipated injuries and damages, as well a$ those which are now disclosed, <br />and the undersigned hereby aftirms that she has affixed her signature hereto <br />voluntarily and of her own free will and accord, T'his release contains the <br />entire agreement between the parties hereby grid the terms of this release are <br />contractual and not merely a recital, <br />10. Should any provision of this Release be declared or determined by <br />any court of eonnpetenCjurisrl.irtion to be klegal, invalid, or unenforceable, the <br />legality, validity, and enforceability of the rernainingparts, terms or provisions <br />-2- <br />