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Claim by Lisa Kramer Copyrighted September 21, 2020 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Lisa Kramer for vehicle damage, Steven Mai for property damage / personal injury. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Lisa Kramer Supporting Documentation Claim by Steven Mai Supporting Documentation ���� � �� �J � ��.. a� : �� � � �°�� � ���� ��, � ,� � ��J � ���� ������ ��,��� ����������� ���� ����� ������� ��� ���� �� �������, ����. ��� ������ ��rr��������i���r� �� �r��� ��� ����� ������������1 i�f�rr��ti���������pc�r�� ���r���i�. ��� �1��r� rr���� ka�fit���i��:��� ���� �����C ���i� �I�11� �� �'. ���� ��.; [�t�k�t�q��, l�. ���1�1. C� � ���� ���rt �� r������c� b� ��� �i�� ��t����� �� ��� ���r°c��r���� �����r���t �t�r i�v���i���i�r�� ;� 7w���,m��r ��Gi� [�€IeSE�"'sw7Ll�Q��W�! iw� Ss���'����%Ay � �":'s��� FA1E� �ss�i.�E#�����.7��AREAi ��1� i✓.�i ��lliaa�l.�.S:"� �kA i.�Sr� �I �it������i�, Y�u r�till b�,������1���i�� � �€���r������ r������� ���+�rnrn���+dafii�r�. � � - _ _ � . � �"�� �1�1�l� ���t�1C►� C?� �:L.1� ��,;�1�t1� �� �,��� �Y�'I�� ��`1'����t��IL. I�l�► ��P�,�"1��� �'� � T�� ��T'Y` �� �U�llt��E ��� ��� �.������T� °T��1f�11�� �I�� �1�F'�I���NT�1"1�� �"� ��� il �►� T�����'N�R`��3�1� ���[� ��.� �� �LL� 1���' �� F��.�E�. ;; �� �. ���� �af�l�it'a��C3t. � ` � �. _ _ ii � �u . : ; 2� ���f����: , �_ , . � ; _ fl ���: ����� '�}� � .��>�� ���t�: ��-.��� �i�a� � � ; � � i; �, T�������t� t���k���. � ��� �`� � ; ` '� �. ���� ��It��ide��: � �� , � ;� �� Ti�rt� ��I��i��r��: f � �� p '1 � �i �. Lc���t��� e��1r��i���� ��� ���������< � � � ���� � . � : �� � ����.� � �� ��� �'4��� �"`�� � � � �; �����lE�E ���ID�P+�T �F� ���������� �'���` ��t��EI� ��1�l1��''� �3� �A�VI���. ��i�� ���� �����i� ��t�i� v�rh��� ��a� ���� �c��r �����. �� � �i�� �t������� ��� i�vc�l��d, ���� �h� � ���a[�ay��'� nar��.} li . _ � _, � , � � .�` � � � , ` ��� � � �� " ��... �� , �, x �. ��'����`� �� m ���.� � : � �` ,� � . � ��°��. , �. 'V��a��v�r a�t���r��n����o� lik�'� � � � �-`��""t `� �"`� �� �. �. t�i�r� ���� �nd ar�dr��� ��`��� �r�t���s��: �� � � �� � � � �� : � ��.���.�� . � ��1�� i '1�. ��d p�1�� inv�sfii����'? {����a, �,�€� ����� ��c�����r�.) � f � ��� ��� ���r€��►+� ir�j����� {I��r�, ���� :�����, ���������� ��� ����r�� r��i�j��ie�}, _ �� � � � � � 'IZ. Was any damag� dar�� to property?' [If sa, des�ribe pra�erty and the ext�nt af dam2tges. Attac#� estimates of clamages t�r des�ri�a� i�asis far ascertaining extent af clama�e.y �� t.�� •`� � r �- u��:'��� ! t • . � G 1 C �G[ Y C-� �" C�l�l f� 1� �G� ��'L�t. �� .�1 � ��...f..� d'-� .� �� .. -� , ,�, ,�-- r' .� � ! �� ,� - �3. What ather damages d❑ yoU clair►t, if any? i4. Have yvu been campensat�d for any part qr ai! ❑f your �lairn �ay any insUrance campany? �If sv, gi�e name and atfdress Qf insurance campany and arr�ount pai�f.� � �; 15. What amoun da y�u claim fram t�e City af ubuq e? �, �{ �- ��' � �C� t:. I" C J � C7_ C. c.�....0['. �� ; y ,�. � ., 16. Why da you c�aim t�e �ity af C]ubuque is r�s�onsible? , -�-1-�� ..� �� [�� + r��_ _�s�.��� :�"' c-i-�'r i c c�-� ►�:�u �'�,� ��:� d�r�.�. ` << �..�:�,�� s ��.-�i`��� � — .�,. ,........ _ [c I��-�.l� /�.- �-�.��i z_��. a---r� 17. Ha�e yau made any �Iaim against artyvn� else far damag��s as a result af this incid�nt? �If yes, �#�ve r�am� a�d address.] "i �' �8. tf #E�e answer tv Questian 17 is yes, ha�e you rec�i�ed any Fayment fram #hat saurce, and if sa, in wnat amo��t? r Dated at Du�t�q��, lowa this ���� day a€ L , �p�.�J. {SEgnature} �`-{ �� � • � � �f��� �r {Print Name] �� o ' Y� r-�� �i ;T �: � �� � r�� � � � r= r-� [Re�. S!?8� � �� r� � � C � � � � [i� � Copyrighted September 21, 2020 City of Dubuque Consent Items # 3. City Council Meeting ITEM TITLE: Disposition of Claims SUMMARY: CityAttorneyadvising thatthe following claims have been referred to Public Entity Risk Services of lowa, the agent for the lowa Communities Assurance Pool: Lisa Kramer for vehicle damage, and Steven Mai for personal injury/ property damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type I CAP Referrals Staff Memo i Dubuque THE CITY OF � AI•Aoeriea Ci� Du B E ���,�«x��.��. �� ��� � � 2007•2012•2013 Masterpiece on the Mississippi 20��*2019 TRACEY STECKLEIN J� PARALEGAL MEMO To: Mayor Roy D. Buol and Members of the City Council DATE: September 10, 2020 RE: Claim Against the City of Dubuque by Lisa Kramer Claimant Date of Claim Date of Loss Nature of Claim Lisa Kramer 09/09/20 07/20/20 Vehicle Damage This is a claim in which claimant alleges that the tire and rim on her vehicle were punctured by a protruding curb section at 1684 lowa Street. This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager John Klostermann, Public Works Director Lisa Kramer I OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, �IARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)583-4113/Fa�c (563)583-1040/EMAi� tsteckle@cityofdubuque.org