Claim by Sara Burke Copyrighted
January 6, 2020
City of Dubuque Consent Items # 2.
ITEM TITLE: Notice of Claims and Suits
SUM MARY: Sara Burke for property damage; John Herrig for property
damage; Carol Klinkhammer for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Referto City
Attorney
ATTACHMENTS:
Description Type
Claim by Sara Burke Supporting Documentation
Claim by John Herrig Supporting Documentation
Claim by Carol Klinkhammer Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA ����`� W�'�`�`�
S�hYI 1�.t��e�t',��a�.v�;t'r,
This written report constitutes your claim against the City of Dubuque, lowa. 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, 5U W. 13t" 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 EIVIPLOYEE 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: Sara Burke
2. Address: �s�n F.rl i�ca r.;,-�i P
City: Dubuque State: T� Zip; 52003
3. Telephone Number: 563-590-6877
4. Date of Incident: 12/20/19
5. Time of Incident: lo a.m.
6. Location of Incident (Be specific): 3530 Eclipse Circle
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, givs the
employee's name.)
Garbage can that was brand new was cracked and is broken
down the entire side of the can.
8. What were weather conditions like? 41 degrees ana clear
9. Give name and address of any witnesses: Matt Burke, 3530 Eclipse circle I,
10. Did police investigate? (If so, give names of officers.)
No
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
No
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.)
NEW Trash can was cracked and broken down the side
13. What other damages do you claim, if any? None
14. Have you been compensaiea Tor any pa�t or a�i �7 �o�+r ciaar� �y �o�y in��r���Q
company? (If so, give name and address of insurance company and amount paid.)
No
15. What amount do you claim from the City of Dubuque?
$30 for the garbage can or
replacement can
16. Why do you claim the City of Dubuque is responsible?
Matt witnessed the can being
placed against the truck and broken
17. Have you made any claim against anyone else for damages as a result of this incident?
(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? No
Dated at Dubuque, lowa this 23rd day of December , 20 19 .
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(Rev. 5/18) �' �
Copyrighted
January 6, 2020
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: Sara Burke for
property damage, John Herrig for property damage, and
Carol Klinkhammer for property damage.
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Concur
ATTACHMENTS:
Description Type
ICAP Referrals Staff Memo
Dubuque
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TRACEY STECKLEIN
PARALEGAL
MEMO
To: Mayor Roy D. Buol and
Members of the City Council
Dnre: December30, 2019
Re: Claim Against the City of Dubuque by Sara Burke
Claimant Date of Claim Date of Loss Nature of Claim
Sara Burke 12/26/19 12/20/19 Property Damage
This is a claim in which daimant alleges that her garbage can was damaged during
weekly refuse collection.
This daim has been referred to Public Entity Risk Services of lowa, the agent for the lowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
John Klostermann, Public Works Director
Sara Burke
I
OFFICE OFTHE CITY ATTOftNEV DUBUQUE, IOWA
Suire 330, HqRaOR View PUCe, 300 Mnw SrReer DUBuoue, IA 52001-6944
Te�ePHONe (563)583-4113/Fnx (663)683-1040/EMai� Isteckle@cltyofdubuque.org