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Claim by Biniv Maskay Copyrig hted February 15, 2021 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Jennifer Connolly for property damage; Dennis Day for property damage;Ashley Johnson for property damage; Biniv Maskay for personal/property damage. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Jennifer Connolly Supporting Documentation Claim by Dennis Day Supporting Documentation Claim by Ashley Johnson Supporting Documentation Claim by Biniv Maskay Supporting Documentation t ' \f ! u ^ V , �...���� ' � � CLAIM AGAINST THE CITY OF DUBUQUE, IOWA ,� This written re ort constitutes your claim against the City of Dubuque, lowa. You should j p complete this form in full and attach any additional information that supports your claim. I The Claim must be filed with the City Clerk at City Hall, 50 W. 13�" St., Dubuque, IA 52001. It �I 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 il 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 �q 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 o�Claimanti: BINIV K. MASKAY � `��I i� 2. Address: 475 LORAS BLVD, APT 2 'I� � 52001 ;, City: DUBUQUE State: IA Zip: ;i , 3. Telephone Number: 859-948-0374 j i 4. Date of Incident: SEPTEMBER 28. 2020 �� �� a 5. Time of Incident: ABOUT 5:45 PM 6. Location of Incident (Be specific): 459 LORAS BLVD. DUBUQUE, IA 52001 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give fu11 details upon which you base your claim. If a City employee was involved, give the employee's name.) A explosion at 459 Loras Blvd. (two houses down) that rattled my a�artment; which caused personal property damage. 8. What were weather conditions like? CLEAR, HIGH 50's 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) E i Not the aparment. � 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) _ � � 1. Work desk collapsed (it needs to replaced); 2. Monitor, computer and other equipment fell causing some I� i V damage; 3. Painting fell off the wall causing some damage; 4. A fiew collectibles damaged; see attachment) �� ;1 13. What other damages do you claim, if any? Please see the attached sheet. �� � �� � � � , 14. Have you been compensated for any part or all of your claim by any insurance 1� company? (If so, give name and address of insurance company and amount paid.) j� NO �+� �; � 15. What amount do you claim from the City of Dubuque? '! i i 16. Why do you claim the City of Dubuque is responsible? � ,;� ;, � � � �i 17. Have you made any claim against anyone else for damages as a result of this incident? �I (If yes, give name and address.) N� h � ,� � � 18. 1f the answer to Question 17 is yes, have you received any payment from that source, �i - and if so, in what amount? ? �i � i Qa#ed at D�buq�ae, low� th�s 10 ,��y �{ NOVEMBER � 20 20 � �� (Signature) � �r � �, ,,��' � �,,. BINIV K. MASKAY �' �-� � �� (Print Name) � ��, C� �� � � }.�� � ��r �'' � � � � �_ � � ..r � cC" c� (Rev. 5/18) � � � � 1 ;� �, � � Biniv K. Maskay i� 475 Loras Blvd, Apt 2 I Dubuque, IA 52001 j� ;i � 1 How the fire explosion affected me !� ,'; 1. The work desk collapsed. It needs to be replaced as it is now too wobbly. , 'i 2. A laptop, a monitor, and other electronic devices fell off the desk to the floor, causing "; � some damage. �I „ _ g � p. � g g �' .s. Paintin s 6-8 �eces and other decorative items #ell off fhe wall; causin some dama e. ,, 4. A few collectibles and decorative pieces fell from tables, causing some damage. '�� � 5. Missed four days of work. ;� 6. Missed taking two medicines (for uric acid and anti-inflammatory) for three days. � 7. Could not change contact lens for three days '� 8. Was without heat in the apartment for a few days. 'I 9. Was provided an industrial size space heater, which is not energy efFicient. ; 10.The window frames are pushed in which has deteriorated insulation in the apartment. i�l This has nessasitated turning on the heat in the apartment, which has been costly. !', 11. A disturbance outside the apartment for several days, causing dis#ractions, and noise � and dust pollution. � � � 12. Could not park in the parking lot for several days. I� 13. Emotional trauma, stress, and anxiety. 'i 14.A guest that was with me was negatively impacted in several ways as well including not ; being able to turn in work on time and has endured anxiety and stress as a result. ; � � �f ; Il li �� i � d � � � � � � 3 � � Copyrig hted February 15, 2021 City of Dubuque Consent Items # 3. City Council Meeting ITEM TITLE: Disposition of Claims SUM MARY: Dennis Day for property damage and Biniv Maskay for personal/property damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type I CAP Referral Staff Memo %_ THE CITY OF ' ��TB E MEMORANDUM Masterpiece on the Missiesi}�pi JENNYMESSERH� PARALEGAL �� To: Mayor Roy D. Buol and Members of the City Council DAre: January 29, 2021 RE: Claim Against the City of Dubuque by Biniv Maskay Claimant Date of Claim Date of Loss Nature of Claim Biniv Maskay 11/10/2020 09/28/2020 Personal/Property Damage This is a claim in which claimant alleges multiple damages as a result of a September 2020 gas explosion on Loras Boulevard. This claim 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 Alexis Steger, Housing & Community Development Director Biniv Maskay OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 Te�ePHONe (563)589-4381 /Fax (563)583-1040/EMai� jemesser@cityofdubuque.org