COVENANT NOT TO SUE

This agreement is made by and between ___________________________________ (the “Covenantor”), for [itself/himself/herself] and for its heirs, legal representatives, and assigns, and __________________________________________ (the “Covenantee”).

1. In exchange for the Covenantor’s covenant herein, the Covenantee promises and agrees to pay all of the Covenantor’s medical bills and $50 per day for lost wages arising out of injuries Covenantor received on July 4, 2008, at the Covenantee’s premises.

2. In exchange for the consideration stated in paragraph 1 above, the receipt and sufficiency of which is hereby acknowledged by the Covenantor, the Covenantor covenants with the Covenantee that it will not institute any suit or action at law or in equity against the Covenantee by reason of any claim the Covenantor now has or may hereafter acquire related to: injuries Covenantor received on July 4, 2008, at the Covenantee’s premises .

This agreement was executed by the parties under seal on August 15, 2008 .

Covenantor:                  Covenantee: