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<br />Retirement Board has a lien on the payment referred to above <br />for that purpose. Accordingly, I hereby authorize the C&W to <br />withhold from the $267,500 settlement payment the amount <br />required to reimburse the Railroad Retirement Board for those <br />benefits and to pay that amount to the Railroad Retirement <br />Board directly. In the event that the C&W is subjected to any <br />claims or demands by any person or entity under any actual or <br />purported lien, or right of substitution, assignment or <br />subrogation, arising out of the injury or payment to me, I will <br />indemnify the C&W and hold it harmless from any such claims or <br />demands. <br />I further declare and represent that no promise, <br />inducement or agreement not herein ezpressed has been made to <br />me; that this Release contains the entire agreement between the <br />parties hereto; and that the terms of this Release are <br />contractual and not a mere recital. <br />I also agree that I, my family, and my attorneys will not <br />disclose the terms of this Release fi Waiver of Rights to any <br />other person or entity without the prior written consent of the <br />C&W. <br />I HAVE FULLY READ THE FOREGOING RELEASE AND WAIVER, HAVE <br />CONSULTED WITH MY LAWYER REGARDING THE TERMS OF THIS RELEASE <br />AND WAIVER, AND DECLARE THAT I VOLUNTARILY ENTER INTO THIS <br />RELEASE AND WAIVER AND FULLY UNDERSTAND IT. <br />I HAVE READ THE ABOVE AND UNDERSTAND THAT IT IS A FULL <br />RELEASE OF MY CLAIM AGAINST AND CONSTITUTES A WAIVER OF ALL OF <br />- 4 - <br />