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Claim by Carol Bandy
Copyrighted February 5, 2018 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUMMARY: Robert Apel for vehicle damage, Carol Bandy for personal injury/vehicle damage, Jenny Cook for vehicle damage, Dubuque County Sheriff's Office for vehicle damage, Felderman Business Associates for property damage, Michael Gukeisen for vehicle damage, Joseph Ray for vehicle damage, Victoria Ruefer for personal injury, SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Refer to City Attorney ATTACHMENTS: Description Type Apel Claim Supporting Documentation Bandy Claim Supporting Documentation Cook Claim Supporting Documentation Dubuque Co. Sheriff's OFfice Claim Supporting Documentation Felderman Business Associates Claim Supporting Documentation Gukeisen Claim Supporting Documentation Ray Claim Supporting Documentation Ruefer Claim Supporting Documentation �.1 � � _ �� ���, � ��,.��r� �►�����r �r�� ��-�r c�� �u�����, rc��r� Tk�is wriften r+�por� c�nstitutes yo�er claim a���nst the �ity +�� 13ubt�que, I�wa. Yot� shc�ulci com�le�e�3�is �+�rrn i�f�tl �n� attac� ar�y ��ditionai irrf�rrrra�ti�n t�at�u�pc��ts yc��r +cla�na, Th� Glai�n m�s� be filed e�rith th� Ci�y �Cl�erk at Ci� H�l�, 54 VV. �3�"' St., Duk�c�r�ue, tA 5�fl{��. I� wil� �h�r� b� re�`�rred by t�� Ci#y Cc�u�c#I ta th� �ppr�a�ariat+� �t�ep�r�m�nt fc�r investi��t�t��r. � t}nc+� th�� invest�gatiart is c+�rn�alet�d, � r�pt�rt and r���mm���i�tio� �ril� �e su�rmi�ted t+�th�� � _ �ity f�rr�n��l. �"ou r�rrCl� �� pr�vi�ded r�ith a�c�p� of�ha# re��r�a�d rec�r7r�m+�r�c�atian. TlTI� ��6`��1�. CI�Ct�IC��I �� ,��.� CL.�►I�"I a 15 MAE�� ��'TH� C�7'�' �C?I�NCIt.. !'�C7 EN{PLt���� t�� �"H� �I�Y t,�� pt��Gll�2t1� H�� TH� A�JT�I�7RI"��` TC� iit[AI{E 1��1� ���'R�S�f�TA�'i4N �'O Y�3t1 ; � �A� �'(��IHE�`H��Y('�I���I�A�111� 'V�'ILL �7�t�111IL�. �9C>`� BE PAtI�. �. �lamt� �f C��r�mar�t: �' 1 . �'��� �, �+dt�r��s: �'�"�`l .� C��� �'�r`����t� �.. °�- �. � 3. T�le�h�rt� �ir�cnb�r: � �. �-� .��!'��� .� ��' �4. C��t� o��r►ci���fi: � `'� �� '�' 5. "�`i��+�� 6nci�er►ts ,�� 1 .� �. �..��a��v�c�f lr���dent (�e �p��ific): . . ��;�� �"�. �-�l� �'�*�i� ��a�-� `���° :�„ - �a� 7. ����RI�E A��tD��T �F� �CCUR���Vt�E TNAT �J���1�� I�.��1F�'� �R �AIU����. (G�v� ��i� +���aii� �p�rr� rrvvh���€ �rc�� �a��� y��ur �claim. I� a City �rrr�rN�ye� was iniv�l�r�tl', c�ive the ��plc�ye+�'s r��rn�.� � � � � �� �''�� � � �� � �.� � �� .�� ���- � � � �" � � - � ��� `<s/d r�"z""c,:�� .� +�� �:�-k� ���` ��: ,_ �q �a��'�'� �� tst,�a �, 8 �, !�fl�at we�� ^�r��st�er c�rr�d'Nt��an� li�C�� ��c.���,� µ �� ��.� --- �,a�i ���t �. C��v� n�m��anw� ��ic�ress �rf ar�y witr��s���s: ��-� °� i ��-� �.c� �. }:� 1C?. C�€� p�zl�ce inve�ti�a�e'� �!f�o, �ive nam�e� �a�`�f�ic�rs.} �; - � �.� t�-�c��-.� c� �`��i � � �~ ���`�� '� ����.c � �i 1. �+'as ar�yane i�ajur�d? �I�"�a, give nar��s, a�lc�res�����nd ��rt�nt��ir�j'urie�}. l _ < ,��� ������.�� ������ � . ��' � . �v � � r`��°��"� � r.e"�..� � �`�� ..S" . �4 , '� f �t l��=��`� ��'�/� �r�-,�°��°���c��:�. �� ��.�����_ -�'��� ��>��«���a �`� �` ��e:� ,�, �r.��� � ��� � �,.���� � ,,���*"�,� � 1�. 1�!'as any dana�ge d���e t� pro�er�y? {if sv, r�es�cri�+� property� an+d th� exte�a# c�f d�rnages. Afit��h e�tirr�a��s �►f dar�a�e� or tl�scribe ba�is for a���:rtaining ex�e�t o� d�rnat�e.) t��-� �'���l ��� � . � �,�.� � 13. '#�1'�a��ther�[�ra��ges d� �+�u� �i�irn, �f any"� ,,�``���-�r � � �- i�!�� ��-� -� 4 � ���� ��4. Hav� ��[a ���r► �crrt�p�n�at+��f ��� an�t part csr �It �af ��aur clainr� by a��° �r�sur�€n�c� ; ��r�pany'� (if��, ��v� �ar�n�a�r�ad+dr�s���insurar�c��c�m����r�nd am�ount paic�»� ��� � 1�, �11�'h�t�r�c��nt+do you clai�rr frcrm �he �1���a��7�bu �r�� � , t.� �'.S�t �..-�-� � � ��3 �'������ �'��'c.��� 1�. Wh� da ys�c� clai� th� �at� of D�buc�ue i� res������ale"� � � °-����.�,� � �.� � ��: I � �7. Hav�y�u r��d� �n� �I�i� ��aiz������c��+����e far c�ama��� a� a r�st�lt af t3�is i�!�ident? (If y��, �ir�� w��rr����d ��#dr�s�.) � � ��. tf t�� �n�wer t� �tue�ti�n �1�' is �r��, ��v+� �+��s ����iv�� an�r �+��r��nt frcrm th�t st��ur��, ar�c� i��ca, i�t wh�t am�a�w��"? t�a��d at E�u��qa��, Ic��nr� this � d�y c�� '"��'t�,�-��, ��9 � . c.� ,r �' � � ,,..� ���° ��igr�ature) p � � `�c��z �:�� ,�'r��t t��r�i�� � ��;� � �� ��....�,��,. � ,. ,; .., - �'~ � `�� , _ r '�`�� k � �R��+,7�'��� ;, - ~� ., E � ' � c.�,� �� - , .m €�_..., �� ;� �"� �' � �.� � . � w r Copyrighted February 5, 2018 City of Dubuque Consent Items # 3. ITEM TITLE: Disposition of Claims SUMMARY: City Attorney advising that the following claims have been referred to Public Entity Risk Services of lowa, the agent for the lowa Communities Assurance Pool: Robert Apel for vehicle damage, Carol Bandy for personal injury/vehicle damage, Jenny Cook for vehicle damage, Dubuque County Sheriff's Office for vehicle damage, Felderman Business Associates for property damage, Michael Gukeisen for vehicle damage, Joseph Ray for vehicle damage, Victoria Ruefer for personal injury. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo � � THE CTTY OF DT..,TB E MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN � PARALEGAL �� � i i To: Mayor Roy D. Buol and Members of the City Council � DATE: January 17, 2018 � �I I�l RE: Claim Against the City of Dubuque by Carol Bandy ;J � Claimant Date of Claim Date of Loss Nature of Claim �� � Carol Bandy 01/17/18 01/15/18 Personal Injury/ ,� � Vehicle Damage �' il This is a claim in which claimant alleges that a Jule bus driver ran a red light at East gtn � and White Streets, striking and damaging claimant's vehicle, and injuring Bill Kelly, driver of claimant's vehicle, as well as passenger Charles Hemmer. � This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa Cor�munitie�A��urance PooL I� � � cc: Michael C. Van Milligen, City Manager � Candace Eudaley, Transit Manager i; Carol Bandy � Diane Schmitt, dschmitt oberbroecklinqins.com � � OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA � SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)583-4113/F,vc (563)583-1040/EMAi� tsteckle@cityofdubuque.org �