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Claim by Rebecca KruseTHE CITY OF DUB UE MEMORANDUM Masterpiece on the Mississippi TRACEY STECKLEIN PARALEGAL To: Mayor Roy D. Buol and Members of the City Council DATE: March 5, 2010 RE: Claim Against the City of Dubuque by Rebecca Kruse Claimant Date of Claim Date of Loss Nature of Claim Rebecca Kruse 03/01/10 02/04/10 Vehicle Damage This is a claim in which claimant alleges that as she was stopped for a stop sign on University Avenue near the O'Hagen Street intersection, a City of Dubuque police squad car struck the rear of claimant's vehicle. This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Mark Dalsing, Chief of Police Rebecca Kruse 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 / EMAIL tsteckle @cityofdubuque.org CLAIM AGAINST THE CITY OF DUBUQUE, IOWA � �J 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 W. 13 St., Dubuque, IA 52001. It will then be referred by the City Council to the appropriate department for investigation. 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: Qchcec -- 2. Address: II21'S Go 3. Telephone Number: ( 5I`.7) X - 414 2 ) 4. Date of Incident: 2 tb d I O 5. Time of Incident: 1 (D = Z� 6. Location of Incident (Be specific): lx fl r J- er .lrr� - � ✓St[��"1 �� ,� nkcsn 7. DESCRIBE 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.) T 03ct . reDir - 3- 'c V U ndccl(v k k - 8. What were weather conditions like? l.r -✓ Oka 9. Give name and address of any witnesses: Lad X524 2Z U 0b 10. Did police investigate? (If so, give names of officers.) L �rcw 53:51 - o32Li eat 0l - 1 LC- 0 n e 7-1- hut Cam+ o ► - ►o - 4821 11. Was anyone injured? (If so, give na es, addresses, and extent of incr—ries. 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.) ODOR � Y\-I-c 6 . 4- hury.49): (Etc_ i-c Jl Phi motO 13. What other damages do you claim, if any? (\ors.. 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.) 15. What amount do you claim from the City of Dubuque? 16. Why do you claim the City of Dubuque is responsible? u o)N h; �- .i� C■ h L*h; s no 17. Have yo made any claim against (If yes, give name and address.) no 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? (Rev. 1/00 & 7/01) Dated at Dubuque, Iowa this 24 day of Rtbccer&_ Kitt , I , 201© . (Signature) (Print Name) dl 'enbngnp eoujo s iie!0'I!O 11:11 WV I- iVW OL ne for damages as a res bf this incident? FEB-08-2010 MON 01:10 PM NWt4 MAIL MPGRTaTO: el03 Iowa Dopw.santaf Traropodwbn Oslo. el Orin! Sarvlau P.O. Boa a213a Ow.%lobos, Ions 502541.0204 FAX NO. Iowa Department of Transportation INVESTIGATING OFACERS REPORT OF MOTOR VEHICLE ACCIDENT P. 03 Law EneotceisantCoes Numb= 01-10-4124 Mntorvedbn7 Prapely? L pate*IACCtq TrhedAccident 02104f2010� 14:29 Hn. 0atNlr Dubuque-31 Acadentoacurridwpdncarperau111Neof(aYy) Dubuque-2100 Lacagen:•le.fai♦ Pdon UNIVERSITY AVE O a omideM =owl ad** of ch MIN show gown lvlanty W ofnewest olty "WA" C A , On &suit stoat, ar Highway; UNIVERSITY At Harm:NanAIN OF AGEN T UMW r8n..mlon ration Is oolnpMtry creact0441 above. the helm, to Up .soot —\ Nevi sa.Ylopt occurred et ea use spoor br1 two dlaorncs+ dlrccdom %-Coordn.Nr oo6Bls• 61# 00501321 Iocarlon iwn a IX w t reuble sMna.es.n g or mlv.d etot ostw wing ord n• swan O Dl.tmn. DyeetSan Manes Dleelpl r cooranam: N f "N!A" "NIA" era We "NA- (if nnkef ed HbhNay. PravkRaft e Ro1 PA lipid Nume.r DwtMbl. Moo Wage. or nOrwS 0at.rLl "N/A" of "MA" (G.rdn.IS 'tarot Oktcson 40 Dif rape f7 u -1 set �p A tarmac Homrac.ai irrie NC IQ:R _-- R C T_„(2}-081"“10 -0000 F DSY� nw Nuwher Caution Cllerg. C t on vpa 321,203 FAILI.* ITONAVECONTROL dander Male Stott IA Close A &dare. L A*Wan ana B Crt2uo11CharOeCade2 Citation Chem 2 Citat an Chang, Moto! Tear man? 1-MOM Test Results; Dom r31v4n7 1-None Toot Tart ReeIltr. code 3 Chain Chary. 3 Citation Charge Code 4 Cipnan Charge 4 I1 Sestina Pant=01 wry status 6 Occuparrtrrat.ctlon2 Abbe) Depb)raere6 I Mood ewtmi storm 1 yeetron 1 QeetIon Path 1 Trapped 7 N 1 trsn.patled In: trensponsd by: T Orrree'e Name - Lax f Plht Niddr a Al Owner Cae+pany OP tarsGMT i 001 A7ity 0IO 77OWA CUGU8 UV _IA 162051 Mecaeno. co. Nep{nia IOWA COMMuiufl IM5 -Insurance Policy 0 License Rue s &Mab ! IA f Yosr 2010 VIN No 2C1W5I7I44.1334144 Yoe( 2000 Motto Chevrolet -CHM/ Model IMPALA Sale IMPALA PDIJCE Tows NO ApprosintstoOmit° Repair ar Replace WWITr*Yal Direction 3 Vehicle Action 01 Speed Lai 26 Paint of irutolImpact 0j Mootcrwmg.d Afro 01 IFate ntof Damesra 2 UnduNld.l Owrdd. 1 PAW to? Q 01,000DO Total decagons 1 Varna Vella. COM000 01 I Corplg, 01 cargo Body Typo 01 Veneta DOMet 01 Drum Condwoh 1 trhlon obscured 01 CanVlb"hng Circumstances. Ortver(up tohim) 06 MODS/ICE OF FVFHT+S I rest Fern 21 Oer:mrd [vent Third Fro! Four) Event Mart Harmful Event (by vertkh) 21 Catem.rcf.ITldler &bens, Fun* Ana Mil b PaWOf Lint Data Year Attach.dto Trager WdG +Tat. Your Fro money Vehicle Typo 2 Emergency Bono 2 Carrier Nom. A4dr.0 Cky Mai 21p US DOT* or MC 6 Ntess.r of Atlae Greve V•trkN Welt* Rehm Placard ! Nezardoue Mann* is7 Noma - Lear finR III Weds ANN { SunlifteleAColl Photo, (016) 7774103 Y Adams 11275 GOLF VIEW � CO GALENA _ 1. pi, ILIL 11036 Data of DIrth Drkei a Llmnae Numaw csetlon Charge Cade 1 citation Charge 1 Gender FemaleL . [watt D I eridoieemmto4 yt.ttricson. NONE I NONECsatlen Citation ChargeCcda 2 CnetlonCrarga 2 Alcohol Test Given? I -NOM! TeatRiwhor Prue Given? 1 -Naha Test Tait Neu* Cnarao Code 3 ClNtlanchirps Code 4 Citation Cttarya 3 ChafianGnome 4 U autIno Paretic h01 Inky Stan 6 Occupant Prolection0 Ake Deployment Mho* twitch 8taat. 9 EJaaisll —11 Elector Pat T roping 1 N I TronepaRad to; Tmneponad by: T �tgafns-Lett MECCA ECCA �d ANN6 Batman Owner CompanyN.tiw °a2 PACM �L-F VENT OR ry 1�rENA tate IL 6026 1r.ua775 II�AI�iR BNaos �iCT ICO�ua soyr rag Z2:46 Lkanae Mate* C604438 mat. IL Year 2010 YIN No. ataimiCs4$37ozat Year I MW 2004 Toyota -TOYT Modal SIENNA WI* UN Tow! NO Appro Pupal Intaie Cost to or Replies WWI Travel Okocnan 3 Vallee Aces 11 I speed Lima 25 I rorntor ovum *quiet 06 mow Damaged Arse 06 tat.rnaf Damap. 2 J Undsrddar owrI4e 1 Prkglo7 ,I $100.00 Tow Oecrpand 3 Tmlgc venal. Costal 04 Gen110, 03 Cargo 9ady � V�.nlet► Type 01 I - .elrot 01 Dew I Gor maw 1 Vision O1ec41rs4 01 Cenireuing WNW (up Clru.aN.rte.., to tool 20 EFGUM=creveNTsIRic event 21 Scam; cant Third !rent Fawn;vont Moot H3/tn*Wert (Icy v.Wua)21 Com.eerellTones As.ehedb Stall Year Macho* to Slat. Year Lame Mile 0 Pews unit Truer unle Rmaroorlay YeNw i Brawl/am +• 3 Carder N.M. Addreao at f Slow XIP USticar* ar MC! Numbers osessvomaW AWNSI weiptYRetina 1 P lant# Iia:srAotaM.toriWs Rrleeead7 Printed At Dubuque Police Department 02/0442010 110.6. 5 PM Peg, 1 Faro It 01-1041124 ACOIOMITENVIRONMENT Loatlrn of first Hernial INint 1 Weather MOW' Mannar of CtaaNCnIabn 3 ( II' fwa) DS II O � ne 1 SimmsCwrJHarw 1 ROADWAY ONARACTOI i T01 Ma* Do i nbuOna 9roraaalmcas: EnvMmwnt 1 Roadm9 01 Typo of Roadway .hrnclondrujr.01 WORIRMaeiELAyera No Location Ttp. Woos PanoN7 S1000MCEOPwow Fat Nalattal port of Crash Ham acdas 11 ii l) 21 12 - 4 0 IK 4 2 I Aabeq R nicer*, E L i elm emar it fst+. .w ... NARRATIVO Desalbe what hammed (Marto e.ldcl.s by number) UNIT 1 WAS MOSTLY S.B. ON UNIVERSITY APPROACHING OHAGEN DR. UNIT 2 WAS ALSO 5.8. ON UNIVERSITY STOPPED IN TRAFFIC FOR THE UNIVERSITY ASBURY INTERSECTION. UNIT 1 WASNT ABLE TO STOP IN TIME, AND REAR -ENDED UNIT2. NO INJURIES REPORTED. MINOR DAMAGE OCCURED TO BOTH VEHICLES. LT. PRINE RESPONDED TO SCENE AS WELL UNIT 1 WAS CITED FOR FAILURE TO HAVE CONTROL OF HIS VEHICLE. Ofterf DOLPHIN NEIL naopr Ha. 21 T 1 Ofaeat *Mod Dr Accident { lc= km Tfrr. 0ffl,arAfflvraAt 9e.aa , 16:91 Mrs. Hams of Agency . Oalbuguer PaNce D.prnffbR.nt WO of Repent 02/04120/0 Iekaeapa6rn fascia at 'canal Y61 T.L a Rrpe,ne Rwlaw.4 P2/' PROM. SOS Dale nivlaw.d 02/0/12010 AOaney loom Other T otanal Iaawpaorlari Aj.ncy FEB -08 -2010 M 1 01 :11 PM -.. Printed At Dubuque Ponce Department 02f0412010 MAW PM FAX NO. Page 2 Funn it al- 1444424 P. 04 02/18/21030 at 02:32 PM 24443 Insured: REBECCA KRUSE Owner: REBECCA KRUSE Address: 11275 GOLFVIEW DR GALENA, IL 61036 Car: (815)777 -4103 Business: (563)543 -7011 Inspect ABRA - DUBUQUE Location: 3400 CENTER GROVE DR DUBUQUE, IA 52003 Insurance - Company: NO. OP. 1 2 3 ABRA - DUBUQUE Federal ID #:420782245 DBA: ANDERSON -WEBER INC 3400 CENTER GROVE DR DUBUQUE, IA 52003 (563)556 -0696 Fax: (563)556 -1899 LIFT GATE R &I Lift gate trim stone REAR BUMPER PRELIMINARY ESTIMATE Written By: JOSH KIELER Adjuster: 1 Job Number: Claim # Policy # Deductible: Date of Loss: Type of Loss: Point of Impact: 6. Rear Business: (563)556 -0696 Days to Repair 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN VIN: 5TDZA22C64S075232 Lic: C591438 IL Prod Date: 10/2003 Odometer: 107380 Condition: Excellent Air Conditioning Rear Defogger Tilt Wheel Cruise Control Telescopic Wheel Intermittent Wipers Climate Control Keyless Entry Alarm Dual Air Condition Dual Power Sliding Doors Rear Window Wiper Steering Wheel Controls Parking Sensors Message Center Body Side Moldings Dual Mirrors Privacy Glass Console /Storage Overhead Console Woodgrain Luggage /Roof Rack Electric Glass Sunroof Fog Lamps Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Driver Seat Power Mirrors Heated Mirrors AM Radio FM Radio Stereo Cassette Search /Seek CD Player CD Changer /Stacker Premium Radio Anti -Lock Brakes 04) Driver Air Bag Passenger Air Bag Head /Curtain Air Bags Front Side Impact Air Bag 4 Wheel Disc Brakes Traction Control Leather Seats Heated Seats Captain Chairs (4) Retractable Seats Automatic Transmission Overdrive Aluminum /Alloy Wheels DESCRIPTION QTY EXT. PRICE LABOR PAINT 0 0.00 0.3 0.0 02/18/2010 at 02:32 PM Job Number: 24443 PRELIMINARY ESTIMATE 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT 4# Subl Additional Materials Nec To 1 8.00 T 0.0 0.0 Refinish Flexible Parts N 5 Repl Bumper cover w /reverse sensor 1 277.70 1.1 2.6 6 Add for Clear Coat 0 0.00 0.0 1.0 7 Add for reverse sens 0 0.00 0.4 0.0 8 Repl LT Bumper bracket 1 63.30 0.0 0.0 9# Subl HAZARDOUS WASTE DISPOSAL 1 4.00 T 0.0 0.0 10# Subl PDR DENT ON TAIL GATE 1 250.00 T 0.0 0.0 SUBTOTAL Sales Tax Subtotals ==> 603.00 1.8 3.6 Line 5 : BUMPER COVER WILL NOT REPAIR WHERE IT IS DAMAGED Parts 341.00 Body Labor 1.8 hrs @ $ 57.00 /hr 102.60 Paint Labor 3.6 hrs @ $ 57.00 /hr 205.20 Paint Supplies 3.6 hrs @ $ 35.00 /hr 126.00 Sublet /Misc. 262.00 $ 1036.80 $ 910.80 @ 7.0000% 63.76 GRAND TOTAL $ 1100.56 ADJUSTMENTS: Deductible 0.00 CUSTOMER PAY INSURANCE PAY WARRANTY VALID ONLY WITH ORIGIONAL COPY OF YOUR RECEIPT PARTS SUBJECT TO INVOICE NO GUARANTEE ON RUST ALL PARTS NEW, UNLESS OTHERWISE NOTED 2 $ 0.00 $ 1100.56 02/18/2010 at 02:32 PM Job Number: 24443 PRELIMINARY ESTIMATE 2004 TOYO SIENNA 4X2 LIMITED 6- 3.3L -FI 4D VAN BROWN Int:TAN Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide ARM8530, CCC Data Date 02/01/2010, and the parts selected are OEM -parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE /Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk ( *) or Double Asterisk ( * *) indicates that the parts and /or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (--) items indicate MOTOR Not - Included Labor operations. Non - Original Equipment Manufacturer aftermarket parts are described as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recond. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign ( #) items indicate manual entries. Some 2010 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. 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