Laserfiche WebLink
CONSENT TO IRREVOCABLE WAIVER <br />AND <br />RELINQUISHMENT OF RIGHTS <br />I, , spouse or affected dependent of <br />,an <br />elected official in the City of Colton, do hereby consent to the irrevocable waiver and <br />relinquishment of rights executed by on 1996, <br />with regard to post-retirement benefits provided or to be provided to me under Resolution No. R- <br />115-91. I understand that by executing this consent, I will forever lose any rights that may now <br />exist under the provisions of Resolution No. R-115-91 with regard to post-retirement <br />employment benefits. <br />This consent is entered into knowingly and with full understanding of my rights to continued <br />employment benefits that currently exist under the provisions of Resolution No. R-115-91. I <br />have executed this irrevocable waiver and relinquishment of rights voluntarily, without undue <br />pressure of duress from any person or from the City of Colton. <br />EXECUTED on this day of , 1996, in the City of Colton, <br />County of San Bernardino, State of California <br />Signature of Spouse or Affected Dependent <br />[Notary Required] <br />Agenda item No. <br />