Sharia Clark

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

• Date: 11/09/23
• Claim #: 23-5744987
• KNOW ALL BY THESE PRESENT that we, Sharia Clark a single individual only, the parents of Zaviah Clark, a minor, born 04/16/2007, for and in consideration of the payment of one thousand dollars ($1000.00), the receipt and sufficiency of which is hereby acknowledged, and in further consideration of the promise by Progressive Direct Insurance Company to pay additional reasonable and necessary medical and/or dental expenses up to a maximum of four thousand dollars ($4000.00) incurred for treatment of Zaviah Clark prior to the date of this release, does (do) hereby for myself (ourselves) and for my (our) heirs, executors, administrators, successors, assigns and any and all other persons, firms, employers, corporations, associations or partnerships release, acquit and forever discharge Ebony Jenkins-Ulmer & Ta’riq Ulmer and his/her/their agents, servants, successors, heirs, executors, administrators, assigns and all other persons, firms, corporations, associations or partnerships of and from any and all claims, actions, causes of action, demands, rights, expenses, loss of wages, loss of services, claims for loss of consortium, loss of support or affection, loss of society and companionship, and costs belonging to said minor or to the undersigned for bodily injury claims, accrued or unaccrued, on account of or in any way growing out of, any and all known or unknown personal injuries, disability, property damage, loss or damage of any kind sustained or that may be sustained by said minor on account of or in any way growing out of an accident which occurred on or about 11/04/2023, at or near SC. In the event that any party herein released shall incur expense or sustain any monetary damage as a result of any claim made growing out of this automobile accident, the undersigned does (do) hereby agree to save and hold harmless such released parties from any and all costs, damages, interest, payments, or expense of any nature whatsoever that the released party may be compelled to pay as a result of any such claim.
• It is understood and agreed that this settlement is in full compromise of a doubtful and disputed claim as to both questions of liability and as to the nature and extent of the injuries and damage to Zaviah Clark, and that neither this release, nor the payment pursuant thereto, shall be construed as an admission of liability, such being denied.
• The undersigned hereby declare(s) and represent(s) that the injuries to Zaviah Clark are or may be permanent and that recovery therefrom 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 therefore and is made without reliance upon any statement or representation of the party or parties being released, or their representatives, or by any physician or surgeon by them employed.
• The undersigned further declare(s) and represent(s) that no promise, inducement, or agreement to herein expressed has been made to the undersigned 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.
• THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULL UNDERSTANDS IT.
• Sharia Clark 11/10/23
• Signed Date