FIXED PROPERTY DAMAGE RELEASE

CLAIM NUMBER:20-1718025

DATE:AUGUST 6, 2020

KNOW ALL BY THESE PRESENT, THAT I/WE, BENJAMIN RAMOS, for and in consideration
of the sum of SIX HUNDRED FORTY NINE DOLLARS AND TEN CENTS ($649.10) the
receipt of which is hereby acknowledged, do hereby for myself/ourselves release and forever discharge
PROGRESSIVE DIRECT INSURANCE COMPANY AND ANDRES HEREDIA from any and
all claims, actions, causes of action, demands, damages, costs, and any compensation whatsoever,
which the undersigned now has/have or which may hereafter accrue for damages to property, including
any claims for loss of use, diminution in value or other personal property, arising out of an accident
which occurred on or about AUGUST 6, 2020, at or near 13677 E 13TH AVE.

It is understood and agreed that this settlement is in full compromise of a disputed claim as to questions of
liability and as to the nature and extent of property damages. Further, neither this release, nor the payment
pursuant hereto, shall be construed as an admission of liability.

THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND

FULLY UNDERSTANDS IT.

_____Benjamin Ramos______ ________________________ ____________

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