Claim by Gordon E. MillsClaim F;~rm http://www.cityofdubuque.org/printer_friendly.cfm?pageid=155
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA ,~~~ ^,~~~'~~'yL-
This written report constitutes your claim against the City of Dubuque, Iowa. You should complete this form in
full and attach any additional information that supports your claim.
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: ~ ~CZ`~OI~ ~ ( `~ \ 1 ~--~--~
2. Address: ~ ~ ~ 1 ~' 1~ ~ ~IZ 1~ ~L, 1 ~-1~..
3. Telephone Number: ~ C> L~ ~' 211
4. Date of Incident: ~l~U ~ ~ ~ L ~~ ~9
5. Time of Incident: ~ ~ - ~ ~ ~~~
6. Location of Incident (Be specific): ~~~ ~cl2j~~,~ L.c~ N C'i'
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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.)
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8. What were weather conditions like? i ~ l~~~..
9. Give name and address of any witnesses: ~\ A~bl~~ ~~'I 1 C.L ~ ~T
10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries.)
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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.)
1 of 2 11/3/08 11:55 AM
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13. What other damages do you claim, if any? TV~~~'
14. Have you been compensated for any part or all of your claim by any insurance company? (If so, give
name and address of insurance company and amount paid.)
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15. What amount do you claim from the City of Dubuque? ~~ !°'~J ~'"P
16. Why do you claim the City of Dubuque is responsible? Sic ~ ~.~~i~rG~Y~
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17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name
and address.)
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18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what
amount?
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2 of 2 11/3/08 11:55 AM
Damage Claim and Report for the City of Dubuque
November 5, 2008
Jeanne Schneider, City Clerk
City Hall
50 West 13`" Street
Dubuque, IA 52001
Dear Ms. Schneider,
My car was damaged in a parking lot incident on November 2, 2008 at the Dubuque Airport.
I have attached the Claim Form required by the City along with photographs of the damage
to my car and the precast wheel stop that was the cause of the damage, and two estimates*
for repair work. In the claim form item 7, I indicated that a statement regarding the incident
would be attached and my statement is included in this letter. I respectfully request that I be
reimbursed for the damage caused to my car.
My Statement
I arrived at the Dubuque Airport on Thursday, October 30 for an early morning flight. I
parked in the long term parking area just outside the terminal entrance. As I pulled in to the
parking spot, I heard a very light "click" sound. As I left the car I looked underneath the
front to see if I was dragging on the precast wheel stop. It was still dark, but it was obvious
that I had plenty of clearance between my car and the top of the wheel stop. I concluded
that the slight sound that I had heard was something else and presented no cause fox
concern.
I returned to the airport on Sunday November 2 about 11 am. When I backed my car out of
the parking stall I heard a sound that suggested that the front end was entangled with the
wheel stop. I exited my car and found that substantial damage had been done to the right
side of the car. The cause was immediately apparent. Both bolts that hold the wheel stop in
place were partially raised from their normal position, which should be flush with the top of
the wheel stop. While the bolt on the left side of the wheel stop was only raised 1 '/z inches,
the one on the right was raised more than 4 inches and was the cause of damage to my car.
I visited the American Eagle counter and they summoned the City of Dubuque employee on
duty, Jason Gillette. I pointed out the damage to him and we then viewed the parking stall
that I had used so that he could see the problem. A primary purpose was to let the City
know of the problem so that the bolts could be properly seated before causing a problem for
others. Jason and I noted that there were a few other wheel stops with slightly elevated
bolts. We photographed the damage to my car and the offending wheel stop and those
photographs are attached.
City Ke.rponsibility
I feel that the City of Dubuque is responsible for the damage and the cost of repair. As a
frequent traveler who makes 30 trips out of the Dubuque airport each year, I use the parking
several times each month. I believe that consumers have the right to expect that the lot be
maintained in reasonable condition to enable use with out risk of damage caused by the
parking lot itself. I've parked the same car there for 2 '/z years without incident. My car has
more than adequate clearance for a properly maintained wheel stop. But for the failure of
the City to properly maintain the anchor bolts for this wheel stop, no damage would have
occurred.
S~ r~
Gordon E. Mills, FAIR
755 Mt. Carmel Rd
Dubuque, IA 52003
Enclosures: City of Dubuque Claim Form pages 1 and 2
Three photos of car damage
One photo of precast wheel stop
Estimate from Kruse-Warthan, Dubuque
Estimate from Lujack Northpark Auto, Davenport
* Two estimates were obtained for the repair work. While the estimate from Lujack's is
$116.90 lower, a car rental for two days, estimated at $100, and mileage cost of $81.90 would
be necessary since they are out of town, making the total cost of repair $65.21 greater than
the cost to have the car repaired locally by Kruse-Warthan.
•~ LUJACK NORTHPARK AUTO PLAZA
3700 HARRISON STREET
DAVENPORT, IA 52806
PHONE 563-388-2712 FAX 563-386-7790
TAX ID #42-0 664731
CD LOG NO 49574-1 DATE 11/05/08
SHOP: LUJACK NORTHPARK AUTO PLAZA INSP DATE: 11/05/08
ADDRESS: 3700 HARRISON STREET CONTACT: JON KEIL
CITY STATE: DAVENPORT, IA PHONE l: (563)388-2712
ZIP: 52806- PHONE 2: (563)386-1511
FAX: (563)386-7790
EMAIL: COLLISIONTEAM@LUJACK.COM
OWNER: MILLS, GORDON
POINT OF IMPACT: 2
LIC#: STATE: VIN: WAUDH74F76N158765
BODY COLOR: BLACK MILEAGE: 22,200
CONDITION: ACCTNG CTL#:
*=USER-ENTERED VALUE
EC=REPLACE ECONOMY
UM=REMAN/REBUILT PRT
OE=REPLACE PXN OE SRPLS
TE=PARTL REPL PRICE
I=REPAIR
TT=TWO-TONE
N=ADDITIONAL LABOR
AA=APPEAR ALLOWANCE
E=REPLACE OEM
UE=REPLACE OE SURPLUS
EU=REPLACE SALVAGE
PC=PXN RECONDITIONED
ET=PARTL REPL LABOR
L=REFINISH
CG=CHIPGUARD
RI=R&I ASSEMBLY
RP=RELATED PRIOR
2006 AUDI A6 3.2 QUATTRO 4DOOR SEDAN
CODE: 68533A/B OPTNS T/24HN
OPTIONS:
TWO-STAGE - EXTERIOR SURFACES
4-WHEEL DRIVE
NG=REPLACE NAGS
UC=RECONDITIONED PRT
EP=REPLACE PXN
PM=PXN REMAN/REBUILT
IT=PARTIAL REPAIR
BR=BLEND REFINISH
SB=SUBLET
P=CHECK
UP=UNRELATED PRIOR
6CYL GASOLINE 3.2
TWO-STAGE - INTERIOR SURFACES
TIRE PRESSURE WRNG INDICATOR
OP
-- GDE MC
--- -- DESCRIPTION
---- MFG.PART N0. PRICE
E
0006 -------
COVER, FRONT BUMPER ------------
4F0807105DGRU -----
563.22
L 0006 13 COVER, FRONT BUMPER REFINISH
2.6 SURFACE
0.6 TWO STAGE SETUP
0.5 TWO STAGE
E 0368 MLDG,FRONT BUMPER RT 4F08530662ZZ 65.83
E 0011 GRILLE,FRT BUMPER L RT 4F0807682AO1C 14.85
E 0158 SKIRT,INNER FENDER RT 4F0821134H 197.20
E 0861 Ol COVER,ENGINE FRONT 4F0863821E 251.28
6 ITEMS
AJo Bo HOURS R
2.7 1
3.7 4
INC 1
INC 1
0.4 I
0.3 2
PAGE 1
11/05/08
2006~AUDI A6 3.2 QUATTRO 4DOOR SEDAN
CD LOG NO 49574-1
MC MESSAGE(S)
O1 CALL DEALER FOR EXACT PART NUMBER / PRICE
13 INCLUDES 0.6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE
FINAL CALCULATIONS & ENTRIES
GROSS PARTS 1,092.38
PAINT MATERIAL 118.40
PARTS & MATERIAL TOTAL 1,210.78
TAX ON PARTS @ 7.000° 76.47
LABOR
1-SHEET METAL
2-MECH/ELEC
3-FRAME
4-REFINISH
5-PAINT MATERIAL
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TOWING
STORAGE
RATE REPLACE HRS
52.00 3.1
70.00 0.3
54.00
52.00 3.7
32.00
REPAIR HRS
161.20
21.00
GROSS TOTAL
NET TOTAL
SHOPLINK U3879 ES CD LOG
PXN: Y/00/00/00/00/00 CUM
HOST LOG
192.40
374.60
7.OOOo 26.22
UU ~~ C~y~ ~~~-- z ~`~ 1, 688.07
~ ~ ~~ `~~ 1, 688.07
49574-1 DATE 11/05/08 11:06:OlAM R6.37 CD 10/08
00/00/00/00/00 GEOCODE 52806
(C) 1998 - 2008 AUDATEX NORTH AMERICA, INC.
1.1 HRS WERE ADDED TO THIS EST. BASED ON AUDATEX TWO-STAGE REFINISH FORMULA.
--------------------------------------------------------------------------
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS
SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY
WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE
MANUFACTURER OR DISTRIBUTOR OF THESE PARTS RATHER THAN THE MANUFACTURER OF
YOUR VEHICLE.
ORIGINAL EQUIPMENT MANUFACTURED PARTS WARRANTED FOR 1 YEAR
OR THE REMAINDER OF THE VEHICLES LIMITED WARRANTY.
PAINT WARRANTED BY DUPONT
AGAINST MANUFACTURER DEFECTS AS LONG AS YOU OWN YOUR VEHICLE
WORKMANSHIP ON THE ESTIMATED REPAIRS ARE WARRANTED AS LONG
AS YOU OWN THE VEHICLE.
ALTHOUGH THIS ESTIMATE HAS BEEN PREPARED AS ACCURATELY AS POSSIBLE,
ADDITIONAL COSTS MAY ARISE BECAUSE OF HIDDEN DAMAGE, MISSED DAMAGE,
PARTS PRICE INCREASES, LABOR COSTS, LABOR RATE INCREASES, OR UNFORESEEN
CIRCUMSTANCES LUJACKS HAS NO CONTROL OVER.
SORRY, WE CANNOT WARRANTY ANY RUST REPAIRS PERFORMED TO YOUR VEHICLE UNDER
ANY CIRCUMSTANCES. THIS ESTIMATE IS VALID FOR 30 DAYS FROM DATE OF INSPECTION.
PAGE 2
11/05/08
v
Date: 11/ 3/2008 01:16 PM
Estimate ID: E8814
Estimate Version: 0
Preliminary
Profile ID: Mitchell
KRUSE-WARTHAN Nissan, Pontiac, BMW
600 Century Drive, Dubuque, IA 52002
(563)583-7345
Fax: (563) 588-3874
Tax ID: 420655341
Damage Assessed By: GAYLE PURMAN
Deductible: 0.00
Claim Number: DRIVE UP
Insured: GORDY & CAROL MILLS
Address: 755 MT CARMEL RD, DUBUQUE, IA 52003
Telephone: Work Phone: (563) 663-5445 Home Phone: (563) 588-2198
Mitchell Service: 910359
Description: 2006 Audi A6 Quattro
Body Style: 4D Sed Drive Train: 3.2L Inj 6 Cyl 6A AWD
VIN: WAUDH74F76N158765
Line
Item Entry Labor
Number Type
Operation Line Item
Description Part Typel
Part Number Dollar
Amount Labor
Units
1 AUTO BDY OVERHAUL FRT BUMPER COVER ASSY 3.2 #
2 003563 BDY REMOVElREPLACE FRT BUMPER COVER ASSY 4F0 807 105 L GRU 607.38 INC #
3 AUTO REF REFINISH FRT BUMPER COVER C 2.0
4 000045 BDY REMOVE/REPLACE FRT BUMPER NUT SEO 805 960 2.75 INC
5 000031 BDY REMOVEIREPLACE R FRT BUMPER COVER GRILLE 4F0 807 682 D 01C 46.60 INC
6 002640 BDY REMOVE/INSTALL R FRT COMBINATION LAMP 0.3 #
7 002641 BDY REMOVE/INSTALL L FRT COMBINATION LAMP 0.3 #
8 000119 BDY REMOVElREPLACE R FRT FOG LAMP ASSEMBLY 4F0 941 700 101.22 INC #
9 000308 BDY REMOVEIREPLACE R FENDER LINER ORDER FROM DEALER 197.20 0.5
10 000772 BDY REMOVEIREPLACE ENGINE UNDER COVER ORDER FROM DEALER 251.28 INC
11 004110 BDY REMOVE/REPLACE ENGINE CLIP 4A0 805 121 A 2.75
12 AUTO REF ADD'L OPR CLEAR COAT 0.8*
13 AUTO ADD'L COST PAINT/MATERIALS 89.60 *
14 AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL 3.50
* -Judgment Item
# -Labor Note Applies
C -Included in Clear Coat Calc
ESTIMATE RECALL NUMBER: 11/03/2008 13:16:08 E8814
Mitchell Data Version: OCT_08_A UltraMate is a Trademark of Mitchell International
Copyright (C) 1994 - 2008 Mitchell International
UltraMate Version: 6.7.016 All Rights Reserved
Page 1 of 2
Date: 111 312008 01:16 PM
Estimate ID: E8814
Estimate Version: 0
Preliminary
Profile ID: Mitchell
Estimate Totals
Add'I
Labor Sublet
I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount
Body 4.3 55.00 0.00 0.00 236.50 T Taxable Parts 1,209.18
Refinish 2.8 55.00 0.00 0.00 154.00 T Sales Tax @ 7.000% 84.64
Taxable Labor 390.50 Total Replacement Parts Amount 1,293.82
Labor Tax @ 7.000 % 27.34
Labor Summary 7.1 417.84
III. Additional Costs Amount IV. Adjustments Amount
Non-Taxable Costs 93.10 Insurance Deductible 0.00
Total Additional Costs 93.10 Customer Responsibility 0.00
I. Total Labor: 417.84
II. Total Replacement Parts: 1,293.82
III. Total Additional Costs: 93.10
Gross Total: 1,804.76
IV. Total Adjustments: 0.00
Net Total: 1,804.76
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair.
THIS DAMAGE REPORT IS BASED ON OUR INSPECTION AND DOES NOT
COVER ANY ADDIONAL PARTS OR LABOR WHICH MAY BE REQUIRED AFTER
THE WORK HAS BEEN OPENED UP. THE INSURANCE COMPANY WILL BE NOTIFIED.
WE GUARANTEE OUR COLLISION REPAIR WORKMANSHIP FOR AS LONG AS YOU OWN
YOUR VEHICLE.
ACCIDENTS ARE A PAIN BUT WE MARE THE REPAIR A PLEASURE!!!
ESTIMATE RECALL NUMBER: 11!03!2008 13:16:08 E8814
Mitchell Data Version: OCT_08_A UltraMate is a Trademark of Mitchell International
Copyright (C) 1994 - 2008 Mitchell International
UltraMate Version: 6.7.016 All Rights Reserved
Page 2 of 2