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Claim by A.Y. McDonald Mfg. CoCopyrighted February 7, 2022 City of Dubuque Consent Items # 2. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUMMARY: A.Y. McDonald Mfg. Co for property damage; Diane Hanson for vehicle damage; Progressive Universal Insurance Company as subrogee of Florence Helin for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: Description Type Claim by A.Y. McDonald Mfg. Co Supporting Documentation Claim by Diane Hanson Supporting Documentation Claim by Progressive Insurance Co. / Florence Helin Supporting Documentation CLAIM AGAINST THE CITY OF CUBUQUE, IOWA 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 Cleric. at City Hali, 50 W. 1.3th 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: A.Y. McDonald Mfg. Co 2. Address: 4800 Chavenelle Rd_ City: Dubuque. 3. Telephone Number: 4. Date of Incident: Stater . Iowa 563-583-7311 „5193 Monday, August 23, 2021 - Wednesday, August 25, 2021 5. Time of Incident: Damage found early morning Monday 6. Location of Incident (Be specific): A.Y. McDonald Mfg. Co. - Foundry Zip: 52002 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.) Extensive water was found to have leaked into our floor pits within our foundry. The water was due to tha city water. rnain Breaks that occurred. along Chavenelle Rd. 8. What were weather conditions like? Regular summer like. days. 9. Give name and address of any witnesses: See schedule:1. 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 personal injury occured . We caught the issue before it could have lead to this. 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.) The large amount of water caused $66,746.63 worth of expense to fix and correct. See schedule 2. 13. What other damages do you claim, if any? Loss of revenue due to foundry production being halted. 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.) No. 15. What amount do you claim from the City of Dubuque? $ 904 952.84 16. Why do you claim the City of Dubuque is responsible? The water main breaks that occurred on Chavenelle Rd were the single cause for our damage 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? NIA Dated at Dubuque, Iowa this 2nd day of February 2022 . 1 nature) John K. Schmidt, SVP and Chief Financial Officer (Print Name) (Rev. 5118)