DEED OF RELEASE, WAIVER AND QUITCLAIM

We, MRS. LOURDES S. PEREZ AND JAMES S. PEREZ, both of legal ages, Filipinos, and residents of
PUROK 2 ESPERANZA, BACOLOD, LANAO DEL NORTE, Philippines, hereby DECLARE AND MANIFEST:

That for and in consideration of the amount of TWO HUNDRED THOUSAND PESOS (P200,000.00) in
cash, in hand received by us to our full and complete satisfaction, of which amount includes the payment and
settlement by DAVAO SECURITY AND INVESTIGATION AGENCY, INC. AND/OR GLENN Y. ESCANDOR of the
hospital and medical bills and expenses incurred by the FAMILY OF THE DECEASED, JESUS PEREZ Y TOMATAO,
I/ WE hereby absolutely release, completely clear, and forever discharge the said DAVAO SECURITY AND
INVESTIGATION AGENCY, INC. AND/OR GLENN Y. ESCANDOR and his driver CARNILO JR. MUSCOSA Y
VOSOTROS from any action, cause of action, sum of money, liability, damages, claims and demands
whatsoever, which in law or in equity I/we have, or which I/we, our heirs, insurer, successors and assigns
hereafter may have upon or by reason of the DEATH of JESUS PEREZ Y TOMATAO and the damage sustained
by our BLACK KAWASAKI CT150A, WITH SIDECAR motor vehicle with Plate No. 100110 arising from the
accident which happened on NOVEMBER 30, 2019 at BRGY. BINUNI, BACOLOD, LANAO DEL NORTE involving
our said BLACK KAWASAKI CT150A, WITH SIDECAR registered in the name of DARIO SUBRABAS and the ISUZU
ELF ARMORED CAR motor vehicle with Plate No. LHM 335 owned by the said DAVAO SECURITY AND
INVESTIGATION AGENCY, INC. AND/OR GLENN Y. ESCANDOR with the intention to completely and absolutely
waive all our right of action, causes of action, claims and demands, of whatever nature, arising from, or in
connection with the aforementioned accident.

I/We further warrant that I/we will institute no further action against the said DAVAO SECURITY AND
INVESTIGATION AGENCY, INC. AND/OR GLENN Y. ESCANDOR and/or his driver CARNILO JR. MUSCOSA Y
VOSOTROS arising from, by reason of, or in connection with, the aforementioned vehicular accident. I/We
also manifest that the said payment / settlement made by the said DAVAO SECURITY AND INVESTIGATION
AGENCY, INC. AND/OR GLENN Y. ESCANDOR shall not be taken by us, our heirs, our insurer or assigns, as a
confession and/or admission of liability on the part of the said DAVAO SECURITY AND INVESTIGATION
AGENCY, INC. AND/OR GLENN Y. ESCANDOR or by his driver CARNILO JR. MUSCOSA Y VOSOTROS in
connection with the aforementioned accident.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________ at _____________, Philippines.

MRS. LOURDES S. PEREZ JAMES S. PEREZ

Signed in the presence of : ___________________________ _____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

________________________ )

BEFORE ME this ____________________, at ________________, personally appeared one LOURDES

S. PEREZ and JAMES S. PEREZ with competent evidence of identity:
________________________________________, and _________________________________________,
respectively, known to me and to be the persons who executed the foregoing instrument and they
acknowledged to me that the same is their voluntary act and free will.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on _______________at
___________________________.

Doc. No. ____ ;

Page No. _____;
Book No. ____ ;
Series of 2019.