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Claim by Charles Harrison Copyrighted August 1, 2022 City of Dubuque Consent Items # 02. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Carolyn Bennett for vehicle damage; Charles Harrison for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Carolyn Bennett Supporting Documentation Claim by Charles Harrison Supporting Documentation �M CLAIM AGAINST THE CITY OF DUBUQUE, �OViIA R: ��S-.��� 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 supporks your claim. The Claim must be filed with the City Clerk at City Hall, 50 W. 13�h S4., pukuGue, IA 52C�01. 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 RE�riESEPITATiGiV i v YOU AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID. 1. Name of Claimant: Charles M Harrison 2. Address: 3460 Starlite Drive#114 City: Dubuque State: IA Zip: 52003 3. Telephone Number: 603-204-7062 4. Date of Incident: �/1/2022 5. Time of Incident: $ 43 am 6. Location of Incident (Be specifiC): Woodland Apartments; 3460 Starlite Drive, Dubuque, iA 52003 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJI�IRY (�R f�AMAGE. (Give full details upon which you base your claim. If a City employee was invoived, give the employee's name.) Stephen Slade was driving a Jule bus and did not remember to put the handicap wheelchair lift up before driving forward, and the lift struck my parked vehicle in the rear, passenger quarter. 8. What were weather conditions like? sunny 9. Give name and address of any witnesses: Clara is Apartment Manager at Woodlands 10. Did police investigate? (If so, give names of officers.) Yes. Lavontay Cobb filed the police report 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). No 12. �i��:� �n� �atnage done to property? (If so, describe property and the extent of darr�ag�s. s�ftach es4imates of damages or describe basis for ascertaining extent of darnag�.f Damage io the passenger rear quarter includin dents and scrapes. 13. 3�;�at other darrrages do you claim, if any? None 14. "���,;� y��.� "��r� ccra;�er�satec4 for any part or all of your claim by any insurance co!re�,,�ny? (If s�; give name and address of ins�arance company and amount paid.) No 15. b't���¢ �sr;dunt �90 you claim from the City of Dubuque? �he fuil arnount of repairs for the damage done by the Jule Bus. 16. R�/Yay do yau claim the City of Dubuque is responsible? r�� �u� h�± ,,,y, �arked vehicle in the parking lot of my apartment complex. 17. I�+:E v� ya�a m�d�e a��v ciairoi aaainst anyone else for damages as a result of this incident? (If y+c-�, ��i�v� r�arn� ar�d acicEr�ss.} No 18. i; ��� �„;s�rar tc :::�:st's�n 17 is yes, have you received any payment from that source, and �`��, or� v✓hat arvaount? Date<r" r� �e��aac�ue, 9owa thi� 11th day of July 2022 �'- "`� ��+-�-,�_� (Signature) - -- —�-�_ �� �������� �o�•f` (Print Name) -,�' � �;� = `_ - r,-: -� ��� � �,, --/I �CD U Z—',.* l— � _ �� �` —' � �� �RE\S. .�..�o�, �` �71 Copyrighted August 1, 2022 City of Dubuque Consent Items # 03. 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: Charles Harrison for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type ICAP Referral Supporting Documentation THE CTTY OF DUB E MEMORANDUM Masterpiece on the Mississippi � ONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 7/27/2022 RE: Claim Against the City of Dubuque by Charles Harrison Claimant Date of Claim Date of Incident Nature of Claim Charles Harrison 7/11/2022 7/1/2022 Vehicle Damage This is a claim in which claimant alleges Claimant's vehicle was damaged when it was struck by a City bus wheelchair lift as the bus was moving. 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 Ryan Knuckey, Director of Transportation Services Charles Harrison OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 3OO MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)589-4113/Fax (563)583-1040/EMai� jmedinge@cityofdubuque.org