Legal Amended Release Form

Legal Amended Release Form

This Amended Release Agreement (the Agreement) is made effective as of by and between Releasor: and Releasee: .

Recitals

WHEREAS, Releasor and Releasee entered into an original release or settlement agreement dated (the Original Release) concerning certain claims and disputes between them; and

WHEREAS, the parties desire to amend and restate certain terms of the Original Release to clarify the scope of released claims, modify consideration, and address other matters as set forth herein; and

WHEREAS, the parties acknowledge that this Amended Release Agreement supersedes and replaces the Original Release only to the extent expressly provided in this Agreement.

NOW, THEREFORE, in consideration of the mutual covenants, promises, and other good and valuable consideration set forth below, the sufficiency of which is hereby acknowledged, the parties agree as follows:

1. Amendment to Original Release

1.1 Amendment. The parties hereby amend the Original Release as follows:

1.2 Effective Scope. Except as modified by this Agreement, all other terms of the Original Release remain in full force and effect. To the extent of any conflict between this Agreement and the Original Release, the terms of this Agreement shall control.

2. Consideration

2.1 Payment. In consideration for Releasor's execution of this Agreement and the releases contained herein, Releasee shall pay to Releasor the sum of (the Consideration) pursuant to the following terms:

2.2 No Other Consideration. Except for the Consideration described in Section 2.1 and other express promises contained herein, Releasor acknowledges receipt of good and valuable consideration and agrees that no additional consideration is owed by Releasee in connection with the matters released herein.

3. Release

3.1 General Release. Subject to the terms of this Agreement, Releasor, on behalf of Releasor and Releasor's past and present agents, representatives, heirs, executors, administrators, attorneys, successors and assigns, hereby fully and forever releases and discharges Releasee, and Releasee's past and present officers, directors, employees, agents, representatives, insurers, affiliates, successors and assigns, from any and all claims, demands, causes of action, suits, obligations, damages, losses and liabilities of any kind, whether known or unknown, fixed or contingent, that arose on or before the Effective Date of this Agreement, except as expressly reserved in Section 3.2.

3.2 Exceptions to Release. The foregoing release shall not apply to obligations expressly set forth in this Agreement or to claims that cannot, as a matter of applicable law, be released by private agreement. Any specific exceptions are described here:

4. Representations and Warranties

4.1 Releasor represents and warrants that Releasor has the full right, power and authority to enter into this Agreement and to grant the releases contained herein; that Releasor has not assigned any right, claim or interest released by this Agreement; and that Releasor has read and understands this Agreement.

4.2 Releasor acknowledges that Releasor has been advised of the opportunity to consult with independent legal counsel prior to executing this Agreement and: Releasor has consulted counsel Releasor has declined to consult counsel

5. No Admission

The parties acknowledge and agree that this Agreement and the actions taken in connection with it are not, and shall not be construed as, an admission by Releasee of any liability or wrongdoing, which liability and wrongdoing Releasee expressly denies.

6. Indemnification

Releasor agrees to indemnify, defend and hold Releasee harmless from and against any and all losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising out of any breach by Releasor of this Agreement or any claim by any third party based upon facts or circumstances released by this Agreement to the extent such claim arises after the Effective Date.

7. Notices

Notices to Releasor

Notices to Releasee

All notices required or permitted hereunder shall be in writing and delivered in accordance with the addresses provided above or to such other address as a party may designate in writing in accordance with this Section.

8. Amendments; Waiver

No amendment, modification or waiver of any provision of this Agreement shall be effective unless made in writing and signed by the party against whom enforcement is sought. No waiver of any breach shall be deemed a waiver of any other or subsequent breach.

9. Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state identified by the parties below, without regard to conflict of laws principles. The parties submit to the exclusive jurisdiction of the state and federal courts located in the selected jurisdiction.

Governing Law State

10. Entire Agreement; Severability

This Agreement, together with the Original Release as amended herein and any exhibits or schedules expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings and agreements between the parties. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

11. Counterparts; Execution

This Agreement may be executed in counterparts, each of which when so executed shall be deemed an original, and all of which together shall constitute one and the same instrument. Signatures transmitted by electronic means shall be deemed originals for all purposes.

12. Additional Acknowledgements

Releasor acknowledges that Releasor has read this Agreement in its entirety, understands the legal effect of signing this Agreement, and signs voluntarily and without duress.

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