Compromise and Settlement of Personal Injury Claim
regarding Premises Liability
Agreement made on the (date), between (Name of Claimant) of (street address, city,
state, zip code), referred to herein as Claimant, and (Name of Owner), of (street address, city,
state, zip code), referred to herein as Owner.
Whereas, on (date)], Claimant, while an invitee on the premises of Owner, sustained
injuries due to (describe negligence of Owner or defect in property). Claimant's injuries are
detailed in Exhibit A attached hereto and made a part hereof.
Whereas, Owner acknowledges the occurrence of the accident, but denies any
negligence or the existence of a defect in the premises.
Now, therefore, for and in consideration of the mutual c