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Claim Resp., Harbin, Robert L.BARRY A. LINDAHL, ~ Q. CORPORATION COUNSEL, C UQUE MEMO To: DATE: RI;: Claimant Robert L. Harbin Mayor Terrance M. Duggan and Members of the City Council Apr/1 3, 2001 Claim of Robert L. Harbin Date of Claim 3/29/01 Date of Loss Nature of Claim 3/1/01 personal injury This is a claim for injuries sustained when the sidewalk on which the claimant was walking allegedly gave out and the claimant's leg went into the storm drain below the sidewalk. This claim bas been referred to Pubhc Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. BAL/jm Cc: Don Vogt, Operations and Maintenance Manager John Klostermann, Street/Sewer Maintenance Supervisor Mike Koch, Public Works Director/City Engineer Robert L. Harbin 196 DIYBUQLrB BIIiLDINO ?00 LOCUST STREET DUBUQUE, IA 52001-6824 TELEPHONE (319) 583-4113/FAX (319) 583-1040/EMAIL BALESQ~MWCI.NET