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Claim by Laura Knabel Copyrighted February 6, 2023 City of Dubuque Consent Items # 02. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUM MARY: Tara Behnke for vehicle damage; Dubuque County for personal injury/property damage; Gerardo Flores for property damage; Richard and Julie Hardorff for property damage; Lindsey Hoyne for vehicle damage; Laura Knabel for personal injury/vehicle damage; Kelly Otting for personal injury/property damage; Brian Ward for personal injury. SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney DISPOSITION: ATTACHMENTS: Description Type Claim by Tara Behnke Supporting Documentation Claim by Dubuque County Supporting Documentation Claim by Gerardo Flores Supporting Documentation Claim by Richard and Julie Hardorff Supporting Documentation Claim by Lindsey Hoyne Supporting Documentation Claim by Laura Knabel Supporting Documentation Claim by Kelly Otting Supporting Documentation Claim by Brian Ward Supporting Documentation rnvm l��c 1 CLAIM AGAINST THE CITY OF DUBUQUE, IOWA T��rn�7°nl���y� 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, 50 W. 13th 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 Lf��t� ��(N n�' �;��,,��_ 2. Address: ��{7 U K�vo�'> �4-�i�� ( C�. City: I)��� �:G u �- State: .Se;;✓4 Zip; 53t:0 > 3. Telephone Number: � � 3 `�Z L� . 3-y 3 "J 4. Dateoflncident: _ ��CElv��s- /, �-j+ .�-b�-�-- 5. Time of Incident: f'N'P �oj�i NL•�'IYL.y 7.` �{ � c%�� 6. Location of Incident (Be specific): �N'rEr'zS zc;��o;ti cL �-� iG�t�„ a y 3.v G� F'���P � f�nnu���, f� >�r�� /�v'1 � ��� r �kvs 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.) ��� i�ai E-�v��e��c- �7�f�c� i,��Ya s �-,�,-, r � r I�fa/�,;�� au .�.ril cv� 7)r � c Cs.�� �IG��," ;kj .Z E�vi`�2�,� '�.I� Irlil��Ss��iltrJ ,l% N� i�(F p r c �, � -� ,�1' �l.� ? i E ti,_ ��.,� cc; S h c.i G4l(�� C.,n�t-�( •+P i � ���M� �ra P��p �N� i�� '� IN�s������ -� �. �sn�.�- M s�'�-� R�w�,, � �L�., z5 MrH `71�: P�uc�, ���-tr�� ��T:wt�r�4 hr zS"-3, r�Py, `i� P°�� v��M���� 0���:n� B�� G FF�rkL>- LAvo:,�q.v Cc 5� R�' lJF /�lj L i t�r—, r,, � -� �N �4N �Ti'r..A^!'f'� Q � �Li.IfI�N M'1 � �it��� N�C�,�f C.c�r..ckiL Gz z�- �n-'/J �ti���%�i kl is 4�z�vcrL S;d£ �',rr ��Z. �jJ+,s Co�icE ����c�� �.� uor 8. What were weather conditions like? �"` "`�`�� vn... ��cc-�rl o,.;_ h��.ln�l V1 �c'^� . '�L I'�t,:p 1 �ti'✓2� S Naw Cti v.gl._E/J �,�,,, �NUN � _ _ 9. Giv name and address of an witnesses: l�r n� �cr,,;y �,✓ c�u,F � � ,�a,,, w,;,i GnE�7 w�T�rs !Jr„ � �rrK��J �� � �� S oK-, i 4,:) r � vzr N�f �,� � 1� 5� I"�G LNf�S �'FiFiN �l t_k2 (�� 0 ' �'T lr/�v2M.�la,J 7i1CLs�9���(r 7��Mn Di rp�olice investigate� �I�so, give name� o��ffice`s�.�,n�' �''''' RR''���5 ��v�,.�c j� ,.-- �TwcQ�.UicE ��SScz,�1.> ,�.�-Io,� UPzY CtU�cu-c-� � �'�77oN. �. �1'1�c-8�✓�k".L '�Iq? Lt�mP:� �ivF� F N �' J6L. . , r '7�/J I"WG �, l�J!'o,2'�nu✓ � �;/� -r w�j , c <h[lc� �%SFit-r C< YS�ti �c il� a;hu�aa v�iz�.uG� /� �r or-fr�ciFg � �. .-Cl) �1L �h >49 C,� . . / �' f,`t� t:A.,�fRh ;rU��11G='. � '�11�9� ��.��w �� '"1�' 1 11. Was an�rone injured? (If so give names, addresses, and extent of injuries). :y I�M `=-+�>�i /yv�1 S �+ta�k�D✓� ��, N �a,� �Es��l- ��T Jna.".�c� An, 9 �/�. ��+Gi /J�P�ay,r��=. M`1 P�G��� �lP I,�JAJ ,5��� �f1w� ���'��eF�EiJ q L�ti� �� i5� 71�Wr �'`hNi�� �� f� �o u r�e o� w�k=-S_ v�� u��� P�cE,�-� � �� n�F,�-c� �� ,A s �'�- �i��o ruPh' �ut n�G�..'rla.i i y F�-rn a��j S u iU� U F ']�ic F k� c� � � C /n� (l,t 2/£1 � F �y, �y F,Ec6iv� v1R-£ �1T �tn���f f'o,r+i (`!FA'+-ilr Lt'f`�r/z— /r� '('�{.E /Lti62n/;rlEr 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.) ,��y V�Nr�l==i � �') 1 54��.�;?.�. fy2�i������ d� �) ���',,=�Krva �t ��v ;l'�� 1< ,J . h�� .k�,��,o-Gj �GJ't�"9��. /�y ��v��K�aN� Ga�-� �� t����r !'�,9 M��niaL� �� T t�+�•�� GtvF��/� c;us_ G,.�S S�j �e/�- �7a{� v6,i�{r���_ '�c� r.,�,l� /�� Sz.��4�,.�;� r'.�b-��L�r�y --��;:: �7?l�. C-7'1�� aG ��ti�uGi4, <v / fiGAh_ � i 13. What other damages do you claim, if any? ��rinl ,l��Q ) °�`=/-�/i�.�G ;Q5 E� ��1u c�; �!= 'l� Ac.ci1 �✓�i. 4! 1.�-�L� �}S C�+.�rP..:��,� ,�;�k (�.V�"`r WYh(r �Li���vt,� , F�SF�`-�/ tc�.J <}�r' �.'��l'E, S�c-�iluN S� f1L� <: _�'Cc�.�vfev� � Lg 6 c �vl�i vc �� R,ric i cF tiiF>�%, �'F�t#I c,l.� ./1-I` /i '����. C-�,,,Ufrs% �M;G rv'("b.^.r F) ;'}.i.�n �iE U.�. 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.) �v� s�( �'�'Jj IN��''iLV�2 P`I'�� �`��-r-y C'ov��'�y) �7�1�- �:tif G'F t�K2l/�l+l��'-'_. �v�5j tjrN.9 �',� S �.I� h isJiT1^�2'ib `II�I�Z- G('f 1 6� n,'nNf�.r��=-�) 'Iy ��'h-�,� �� f'ff`1 n���r a� �,�„`� 1 ���JU �L �`Er1lGh�- �ic�v,, 15. What a-rm� ou-1nt do you clai�n from the City of Dubuque/?� uY l � OiS ..t- (�r4 Eiv.� �G lL4cf9 U+- l;� � ' ) L�fh ct2 ��,�t-hy u fi S wi}S c�rJ �r� 16. Why do you claim the City of Dubuque is responsible?��� ��^_� ��� ���+^''���C. !�^� �G '��i Nfr <'�S�,2_c.e�r �{`k. �� �1�.(,<:t_.(J���� ( c:°' : :;�%l�i��J i-i 71�tT cJ � lv tJ �� 'fl` n_�f7 �-(c- 1.�c„2r (1 S 1nF/f �` �.QLr-�I1 E rcK:.✓�Li`+7..; 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) IL' G 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? 5�,� ;;� Dated at Dubuque, lowa this ��� day of ( tr`��~`�'�-`/ , 20>� . `� ' / � / (.J �/l�� i�`-� � (Signature) -; -r,. -� � yr ,,� y��` � . ., `"'�� ���`'�M� �` "�'��'�L (Print Name) �' � � � i-j-, .. r-� ...: - � (Rev. 5/18) Copyrighted February 6, 2023 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: Tara Behnke for vehicle damage; Dubuque County for personal injury/property damage; Gerardo Flores for property damage; Richard and Julie Hardorff for property damage; Lindsey Hoyne for vehicle damage; Laura Knabel for vehicle damage and personal injury; Mark Laird for vehicle damage; Kelly Otting for personal injury/property damage; Brian Ward for personal injury. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type ICAP Referral Supporting Documentation THE CTTY OF DUB E MEMORANDUM MasterpTece on the Mississippi � ONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 2/1/2023 RE: Claim Against the City of Dubuque by Laura Knabel Claimant Date of Claim Date of Incident Nature of Claim Laura Knabel 2/1/2023 12/23/2022 Vehicle Damage & Personal Injury This is a claim in which claimant alleges claimant's vehicle was struck by a City of Dubuque Police Department vehicle. 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 Jeremy Jensen, Chief of Police Laura Knabel 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