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Claim by Deborah NadermannTHE CTI'Y OF DUB E MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL ~` '!/"" CITY ATTORNEY To: Mayor Roy D. Buol and Members of the City Council DATE: RE: Claimant November 12, 2008 Claim Against the City of Dubuque by Deborah M. Nadermann Date of Claim Deborah Nadermann 10/31 /08 Date of Loss 10/21 /08 Nature of Claim Vehicle Damage This is a claim in which the claimant alleges that her vehicle was splattered with oil and tar when she drove onto Cedar Cross Road from Starlite drive. Claimant alleges that work was being performed on Cedar Cross Road, but that there were no cones or warning signs redirecting traffic around the area. According to the report of John Klostermann, Street & Sewer Maintenance Supervisor, records indicate that Public Works crews were working on Cedar Cross Road on the day of the incident and after speaking with claimant, Mr. Klostermann believes that the damage occurred as claimed. It is therefore the recommendation of John Klostermann to approve this claim as filed, for the amount of $85.60. The City Attorney's Office concurs with this recommendation. BAL:tIs cc: Michael C. Van Milligen, City Manager John Klostermann, Street & Sewer Maintenance Supervisor Deborah M. Nadermann OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563) 583-4113 / FAx (563) 583-1040 ! EnnAIL balesq@cityofdubuque.org __ ~ ~ Claim Form ~~ ~~~~~ ~"' Page 1 g~2 ,{%~.~-+~' r~ ~~ ~ r- , fJ~'~'_,' t~[J CLAIM AGAINST THE CITY OF DUBUQUE, IOWA 88 QC; 3 ~ ~'E9 ~~: ~ Q This written report constitutes your claim against the City of Dubuque, Iowa. You s(~~Ic~ eo I~tefi ~~~p~ in full and attach any additional information that supports your claim. `v"'~'`l~' ~ `-' `~ ' ~~~ C~~b:~'~ (,a The claim must be filed with the City Clerk at City Hall, 50 West 13th St., Dubuque, IA 52001. ~It will then be referred to the appropriate department for investigation and to the City Attorney's Office. Once that investigation is completed, a report and recommendation will be submitted to the City Council. You will be provided with a copy of that report and recommendation. The final decision on all claims is made by the City Council. No employee of the City of Dubuque has the authority to make any representation to you as to whether your claim will or will not be paid. 1. Name of Claimant: ~ hnl`~. ~ (~ (U ~~ r rnah ~ 2. Address: ~D,~aR r~.Y~~e. 17 J'. 3. Telephone Number: .S Ln3 ~ ~oZ - o~ 1 ~ 1 4. Date of Incident: ~ (~ - a ~ - O`~ 5. Time of Incident: ~: ~(-~ 1"Y1 ff /~ i 6. Location of Incident (Be specific): ~ PCtU(` l Y'nS~~ ~Q t 7. Describe the accident or occurrence that caused injury or damage. (Give full details upon which you base your claim. If a City employee was involved, give the employee's name.) o~nrz ~~~~ ~-Far, eel ~er~w-~~e can i. r~~~~~, <~~ati~,Na (~©v\e~,, ~b~uurn~.~o.r~ were ~o~nc, ~~,a~~c~~- o~+he t.~>ocKeW-S __ 8. What were weather conditions like? (lot-f `~`nc,~-~ 9. Give name and address of any witnesses: I (',n~ IY1~.f ~l,-~ ~, k~ F i y~ r1 ~ n~uf~ C h r Us ~-er - S ~ee p ~1 ~ 5 S (.loci ra P .C l- ~ s~ ~ ~~ ~ /~ i , cam. ~ 10. Did police investigate? (If so, give names of officers.) 11. Was anyone injured? (If so, give names, addresses, and extent of injuries.) 12. Was any damage done to property? (If so, describe property and the extent of damages. Attach estimates of damages or describe basis for ascertaining extent of damage.) ,boo b C~t,c}~,r 300 ~t~h~-~-e ~ wa ~arr,p l ~~ ('c~.~err ~r o~~ ~~'~-.r S_ <1P ~ l~.y~c~~e~ S ~~P ~` ~~S c'~e~oc ~ , C~-~c. k b~.m~e~- ~ ~ r~v~k 13. What other damages do you claim, if any? (yp http://www.cityofdubuque.org/printer_friendly.cfm?PageID=294 10/24/2008 ` SIMONIZ EXPRESS 3199 University Ave License Plate Number: Name: Address: Citv: State: Phone Number: ( ). Vehicle Year: _ Vehicle Make: Vehicle Model: Date: Please Do Not rite Below This Line ,r Exterior Services ~ Interior Services Simoniz Express Wax $39.99 Carpet Shampoo $19.99 Exterior Compound & Wax $ Upholstery Shampoo $19.99 Clay Process $ Fabric Protestant $29.99 Black Trim & Tire Revitalizer $9.99 Leather Conditioning $29.99 Vinyl Top Dressing $19.99 Oversize Charges $ Tar Removal $ Other Charges $ Exterior Hand Wash $ Oversize Charge $ ~ Ch Oth $ Additional charges apply to oversize vehicles and er arges when the condition of the vehicle wazrants it Detail Packages Complete Detail tTltimate Interior Bumper to Bumper Oversize Charge Other Chazges Total ~s $ $, $. 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