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Claim by Audrey Gottschalk Copyrighted March 4, 2019 City of Dubuque Consent Items # 2. ITEM TITLE: Notice of Claims and Suits SUM MARY: Hope Ehlinger for vehicle damage,Audrey Gottschalk for vehicle damage, Zachary Hallman for vehicle damage, Andres Liza for property damage, Kalyn Nowacki for vehicle damage, Conor Shoellhorn for vehicle damage, Nicole and Ricardo Woods for personal injury/vehicle damage, SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City Attorney ATTACHMENTS: Description Type Ehlinger Claim Supporting Documentation Gottschalk Claim Supporting Documentation Hallman Claim Supporting Documentation Leza Claim Supporting Documentation Nowacki Claim Supporting Documentation Shoellhorn Claim Supporting Documentation Woods Claim Supporting Documentation � � �� �: �,'1c�-�TI�.,�,;�-,� ���� �.t�A1N�T Th�� �1TY Q�' �l��'�1��1F, ��JVVA � Th�� wri�Een re�c�rt +�t�n��itut�s �r�ur �lairr� ��afn�� th� �ity:rrf C7crb�t���, �c�wa. 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(If�c�, girr�: n�r�� �atd �ddres� c�f ir��ur�r�c� �+�m�a�ny �r��# �rr�ot�r�t pa��.j �; � �� I "i�. �1V#�at�mt�ut�t dc� �rc�u ���rrr��r�arr� tt�e �it�+ �f C►u�t�qu�? ��"�"' � � � '�� ��- t��''�,`�..�. ���" 'I � � � � �' ���� � - ��� 1�. 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I� �r�u �r� n�t th� �r�t�a���d r�c��i�r��� y�au �re't��reb� n�tlf���i t��� yau have r��c�iv�d tt��s +c�t��uni��ti�n in crr+�r, �n����t�ny r��rte�nr, �i�cl�s�r�� d���e��t���i��:� di�tribu���rr c�r�a���ri�ig��i� ��nten�� i� �r�a�ikr�ti�d. P����� �c��tfy C9ty� �i� C�r��uqu� imirriedt�t�ly �y t��e�t��a�� a� ��������9�1�� af �r�ur r�cetp� o�° t�r��� it�m� ��d d���r�� ��� c�r�m`�nS�a�t��n �i�d �r�� �t����m�ri�s im�+��i��+�l�. �u�#��r di���ra��ar� c�� t��� ��t�'car'r�����an ��y vi�l�te ���t� a�►d fed�r�l re��ri��icrrs�, ��nfid�nk��l inf�rm��i�n'rr7�y ir�clude tt�a f�ll�wir��. I 1� ��ci�) ���urity �1�mk��r(s� � �) It+EedicallH��lti� 1�f�rrr��tion �) P�r�ar�,r��ll_Di��i��in�ry Infor�natrt�rt 4� ��rik���erun��nf�rtn�tic�n a) Fi�tar�e��l In��rmatican 6) �r��it��r� t�lut���rs � If�r�y ��ci�m�nt�ti�r� y�u ��si�� f� �ubrnit�� �1�� ���r ��l�ub�aqu� �irtt�3ns �ny ta�the it�rn� �bov� thi�:c�vec sh��i rrru�� b� �ttaeh�d ��r��t#y .tc� th�:�an���r��i�� ��f��-rn����r� �ri� ar��i�a�� tha� ty�� �€ � . in��rm�ti�r����t is irr��ud'�d;: ; I, , h�r���r �ertif� 't��t �h�^ ��t��t��� ���um�n�� ir��lud� tl�� f�ll��vir�g prc�t�e�t�d inf�rrt��tic��r: ��,S��ia! S��urity Numb�r��) ` �Ban� Acca�ar�t Infarm�ticar� M�dic�IiH��lth Ir�forrrr��tiian Firi�n�i�l lnformatian ��"�r�t�nr��ll�iscipli�ary ��fc�rrr�atl�rt ��r�dit��rd h�u���r{�� I ur��i��-st�r�d fih�t thf� ir���rr�at��r� t���r b� ���tri����d ���hi� �he'�ity ca�g�niz��i�� �r:tp ��ent� o��i�e �i�/ �C}t �!'£���5�l�� �C�� � ������' ��;1��1pi"t�� '��`i� #��� �Ci ��� s��CfS�'t�llt��f ����i"IC� ��� �l"���l.1�1{�Il� �t� prr�t�ct my ir�f�rrrtati�rs fr�m u�sr�������r� dis��ibt��i�r�, , : � � ��� � _ St��1c��UC`� I��I�� Copyrighted March 4, 2019 City of Dubuque Consent Items # 3. ITEM TITLE: Disposition of Claims SUMMARY: CityAttorney advising that the following claims have been referred to Public Entity Risk Services of lowa, the agent for the lowa Communities Assurance Pool:Audrey Gottschalk for vehicle damage, Andres Leza for property damage, Kalyn Nowacki for vehicle damage, Conor Shoellhorn for vehicle damage, Nicole and Ricardo Woods for personal injury/vehicle damage. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur ATTACHMENTS: Description Type ICAP Referrals Staff Memo i �THH CITY OF �DL�� :� MEMORANDUM � 1 tVIc�ster�aiece on the Mississippi I� �I; �� TRACEY STECKLEIN I� PARALEGAL i j To: Mayor Roy D. Buol and Members of the City Council � DATE: February 19, 2019 ;, �i RE: Claim Against the City of Dubuque by Audrey Gottschalk ,I� Claimant Date of Claim Date of Loss Nature of Claim `�� i ,i ;; Audrey �ottschai�C �z11�f1� 6�%�3f1� � �ehicle 6amage �� � �, This is a claim in which claimant alleges that her vehicle which was parked on Nowata � Street was sfruck by a City of Dubuque snowplow truck. I This claim has been referred to Public Entity Risk Services of lowa, the agent for the lowa II Communities Assurance PooL cc: Michael C. Van Milligen, City Manager � John Klostermann, Public Works Director h Audrey Gottschalk I��� � � � � � OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)583-4113/Fax (563)583-1040/EMai� tsteckle@cityofdubuque.org