Claim by Wayne Ramaker Copyrighted
March 6, 2023
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUM MARY: Brenda Atkinson for property damage; Jacqueline Budde for vehicle
damage; Colin Hollenback for vehicle damage; Victor Mowery for vehicle
damage; Tonia Nicholson for vehicle damage; Wayne Ramaker for
vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Brenda Atkinson Supporting Documentation
Claim by Jacqueline Budde Supporting Documentation
Claim by Colin Hollenback Supporting Documentation
Claim by Victor Mowery Supporting Documentation
Claim by Tonia Nicholson Supporting Documentation
Claim by Wayne Ramaker Supporting Documentation
�vm
Lcyci-1
Sl;r.�1o�c m--Y,w
Ct..�'�i� �fa.�4qF;�;�� T4iE CITY �C €�[J�IJQUE, 101lVA ���ll'"SiS� �9-
This wriYters report cr�mstitis4�s yoa�r clairri against the �ity of Dubuque, low�. You should
complet� khis form in fuii .?�rsd attach arry additional enformation that supports yc�ur claim.
The Claim must t�� filed v�ith ti�e City Clerk at City Ha91, 50 W. 13�h St., Dubuq�e, Ie4 5200'9. It
will then be referred by the t;ity Gouncil to 4he appropriate department for investigation.
Once that inves4igagrr,�n ir comg�i::teci, a report and reca�mendation wiil be submitted to the
City Council. You ��cr�. !.si ; ,��•a,a+c � hith a �apy of thaY ^�r�:•t �nc recc��r:�r,endation.
THE F9fRf�t DE�i��iC�f± i:s3�I �._� i`I_s3.:fL�!:� [^ MADE �l" TSi� fi:IT`f COUNCIL. �1� EMF'LL?YEE CJ��
THE L1T'`fi �lF L�Dr�C��dU�w �-:��� ����,�:� ,�s�l-�fORITY T� ft71�?4L: f�NY REPRES�fJ�ATlC1R 'TfJ YOU
!AS TU U1lHETHER Y(?�� d:t_/�1lM Vr'IL�. �R WILL NOT B� F'AID.
1. F��me !.� I� ' , � _, //
C d:7Y�i=f $: ..—'_.��� �J�.�'- : f<� � C�YI ���'\ T l:�
2. F�'���'!'::��: _�._�_�.i-�_F�'-�.�f�la <,% ( cr1 � !��
CiYy': ��!J(�!.���_.__�. State: � �� /f p�
�>,..,. ��s. � �/a W' � �` �.���
3, 'f�ik:��i,�r�� ,�l��mc�4,��, .�,_.�_��C�� 3�- `5 �-1 �- �! �9
4. C�a"�� Lf 9r,�i�weir:.. .�__�G_�. f�t , 7 c%-� -� _� _ .e
5. 6'in��c ���tlnco�����: -L3 d Xkdn
6. L�c.�ti�n co I�tcict��v,� i�'4 �yJ�c'.�r�c,: I`✓� y !� r�vi L- I ���.; {=Lr;l�i� 7� C=�-;
7. c'�`"l':::l��- ;l��±i�,�e�l�;" t�F: .')t"t'.C➢?':FYENCE THA7 CP1'k1^-..+ED 9NJURY OR �ANiACsE. (Give
fuii ci�Yaiks �apc�n vc:a[.:ii .a:u ta�:s�: .�c��; claim. Ifi a C;aty �mployee was invav9ved, g'sve tt�e
eFY1�71t:'.t"�t�:�.i Pi;"�°a'f�t:.?
''�v�1>_ 'U�'�.eU1.[k5_.(?,A..(?�._(7�?..�e�.LL���L_/�J M�or�i i�n`� 1=1 o i�iF �' ,
, o�Jl:
UU
�7a�lx.�'z.AC�L'.._�_�uL_K ._l2Ci�__IN_�/??`1%/(UC•fC /�/✓17 (JP,aKE n�� %r�li2Nk�.�L�U.).UGJi. ,`�-
8. `��""�, .: h;�_t� �._.»_;�- _�•��;�l�ir . e a�uE-'; �� i � ,'a�'��L� _..
9 r`.3,.' t�_a.:'_�.:. � t; •rsr•', . ,. .. ;„>;qvrP.i;ses: ��j v !��I:�_._ .�_._�
1U. '�'r� �ao6ic�� P c ��.',��,.��.� > !�I �. rto���� raames ofioffi��rsJ
�__�.__._.__._�_�$_._______._._n�_C��'�i4.�.P�i.Z_______ ��
11. °r� , . y�, � ,,;j_-;.h ":i �_ . . , ', �a=:>nes, addtes�:�.�. ���d exten4 cf dni�riesl.
NO
�
12. VWas a�ny clamage done r~= �ro�rerty? (If so, describe property and the extent of
a1am��z:s. a4�ta�h estimates F,, �e�rr�aa�es or descri�„� Uasis for ascertaining extent of
damar�e.)
e�J i)
13e 'dtir-��t ;��45�i�� damagesdo ����; �•i.�i���,, i� any? _ -- - - -
� _� a_�._��L� t� �J�
14. Have t��u been compenss�°'::= i far any part or ail af your claim by any insurance
company? (Ifi �o, give name ar .' .,,;;;�U>s of insurarac� :.ompany and amnunt paid.)
��� F.
15. k�:,'i a", ar�;�ia,it do you claim = t.i,� s�ity of DuLu�:�::?
__.�__._.___._�..__.�_ ��..��t = 3 i
16. ��lF�y cic� y�u claim the City '� ��i�sa�lse 6s r�s�o!isi:iie':
�_]��..."ta�� i.- i� i= `' �a��(� i i� Ta rn ,✓ i� , �"':���+ I i�:Ut: l�.
17. Have you ���de any claim �-a �,r€s2 anyone else for darraac�es as a resuit of 4his onc'sdent?
(If yes, ���,�e :•, :r„�e and address.
�J �
18. IF the �ras�Euer to Question :,i �,, R;c:�, have you recefved any payrr�ent fcorn that s0urce,
a��d i: ��:. �.: ������zat amount?
Cla2et' r d,��;i:c��e, lowathis _ZC2 � .-�% af.��ffE��" � 20�.
�_� xy�ivh�„��.,r..� (Sigrrature)
�
----.....(�i1/� `-l��fJ i= ��_ I� 1�__L���� r�'_ _..._(I�rint Nam�)
�
�
-r,
;� -�.,
- � �-�=
�3
� �
� jj
(fZev. 5/1II1 =° '
- ,= ;-j-;
N �.;
(p
c
Copyrighted
March 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: Brenda Atkinson for property damage; Jacqueline
Budde for vehicle damage; Steven Grutzmacher for property damage;
Colin Hollenback for vehicle damage; Michael Lange for vehicle damage;
John Lockwood for vehicle damage; Victor Mowery for vehicle damage;
Tonia Nicholson for vehicle damage; Wayne Ramaker for vehicle
damage.
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: 2/23/2023
RE: Claim Against the City of Dubuque by Wayne Ramaker
Claimant Date of Claim Date of Incident Nature of Claim
Wayne Ramaker 2/20/2023 2/14/2023 Vehicle Damage
This is a claim in which claimant alleges Claimant's vehicle was damaged due to being
struck by a City garbage truck.
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
John Klostermann, Public Works Director
Wayne Ramaker
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