In consideration of the sum of xxxxxxx THOUSAND United
States Dollars (US$xxxxx), paid by the National Hockey League
Players' Association ("NHLPA") and/or those underwriters at
Lloyd's, London ("Underwriters") subscribing to the disability
program of the NHLPA, the undersigned ("Player") hereby remises,
releases and forever discharges Underwriters and the NHLPA, and
also all servants, employees, officers and agents of Underwriters
and the NHLPA of and from all debts, demands, actions, causes of
action, suits, accounts, covenants, contracts, agreements,
damages and any and all claims, demands and liabilities
whatsoever of every name and nature, both in law and in equity,
which against those said Underwriters, the NHLPA, and/or any
servant, employee, officer or agent of Underwriters, NHLPA, or
their heirs and/or assigns Player now has or ever had from the
beginning of the world to this date, and more especially on
account of any and all claims arising in whole or in part out of
an injury which occurred to Player on or about ____________,
19__, or any action which thereafter occurred, and which injury
and/or subsequent action has resulted in the permanent total
disablement of Player to perform as a professional hockey player.
This shall not release Player's club from its obligation to pay
salary or other compensation which may be due to Player pursuant
to the specific terms of the Standard Player's Contract between
Player and his club, and shall have no effect upon other
insurance coverage provided to Player through the NHLPA.
IN FURTHER CONSIDERATION ___________________________
hereby UNDERTAKES AND AGREES with Underwriters and the NHLPA,
that in the event ________________ shall return to status as a
professional hockey player he will refund such payment.
DATED this ________________ day of ______________,
19__.
Signature of Player
Typed Name of Player
Sworn to and subscribed before
me this ___________ day of ___________, 19__.
Notary Public
RETURN TO NHL CBA INDEX
|
