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Claim by Victor Mowery 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 MVM Legal J. Klostermann CLA�M AGAINST THE CITY DF DUBIlQUE, InWA A. Swift This writ#en repart consti#utes your claim a�ainst the City of ❑uhuque, Ivwa. You should camplete this form in full and attach any additivnal information thak suppvrts yvur claim. The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" St., Duf�uque, IA 52Q�1. it will then be referred kay the City Council to the apprapriate departmen# for in�estigation. Once that in�estigation is completed, a report and recommendation will be submitted ta the City Council. Yvu will k�e prv�ided with a copy af that re�art and recammendation. THE FIIVAL DEG151DN ON ALL CLAIMS 15 MADE 6Y THE CITY CpIfNCIL. [VD EMPLUYEE DF TWE CITY �F Dl1BUQUE HA5 THE AUTHORITY TD MAKE ANY REPRESENTATIDN TQ YQU A5 T❑ WHETHER YDUR CLAIM WILL DR WILL NOT BE PAID. '�. Narr�e vf Glaimant: �! i t� �� { "�[]�7� a"� y 2. Address: �� .� ��` �1�SS � , City: 5tat�: �� Zip: � c�C��1 3. Telephone Number: �J (;� � � �t � � ��?�'� 4. ❑ate of Incident: � � f �`� `" ��'�` 5. Time of In�ide�t: ! (�P r �� 6. Lacation of Incident�Be specific}: ��,� ��-��S� •�-�- � �� 'y d�� 1 �l •� ti�'�� r� C��-1 ��' �'``'�� ,�„_ 7. �ESCRIBE ACCIDENT OR OCC�RRENCE THAT CAUSE4] INJ�RY OR DAMAGE. �Gi�e fuli detaiis upon whic� you base your claim. If a City employee was in�vl�ed, gi�e the employee's name.j � �� L ��7��-�� J��; -�� --t �� .� �e �� d�� --_ _ -�---i�-�-G: � � �,�� ,] �� v� "��==��-- �-'��n �-� .. � $. Wh�t were we�ther Cvr�ditions like? ._ �Y�CUt,-�r � 1 9. Gi�e narne and address vf any witnesses: 1Q. �id poiice in►►estigate? �if sv, give names of ofFi�ers.J � `f ` /� � � y C ! v� t7+``G"G�� `'1 �C_- � i.� � � � z. ��"G• {��- . 1'!. Was anyone injured? �If so, gi�e names, addresses, and extent of injuries). �� 1 Z. Was any damage dflne to property? {If sv, describe prvperty and the extent af damages. Attach estirr�ates of damages or describe basis fvr ascertaining extent of damage.) , �� 4'`1]C� �� 't-r`'� �:`._� � �.>'-;�_�> . e ��.. _.,� ,.�_� ,... 13. What other damages do you claim, if any? �L_J� �� _ 14. Have you been cvnnp�nsat�d fvr any part or afl af yaur claim kay any insurance company? (If sv, gi�e name and address vf insurance company and amount paid.] � �s�' ,�.�. � '15. Wi�at amount do you claim from the City vf Dubu�ue? r'�, � � � �f L.� 1fi. Why dv you claim the C�ty of Dubuque is responsible? �7 � , C-L . G�� 17. Ha�e yau made any claim against anyvne else for damages as a result vf this incident? �If yes, gi�e name and address.� f � � 18. If the answ�r to Question 1 T is yes, ha�e yvu received any payment from that source, and if so, in what amoun�? �� . � Dated at Dubuque, lowa t�is �day of '�' ��•�{'��.�" �� , Z4� � ,� � -� ,� ,' __� � r � J�f +� i n•I/ � � {5ignature) ��:� �� L' (Print Name) Received via email {Rev. 5l18� 2/21/2023 at 2:46 PM 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 Victor Mowery Claimant Date of Claim Date of Incident Nature of Claim Victor Mowery 2/21/2023 12/22/2022 Vehicle Damage This is a claim in which claimant alleges Claimant's vehicle was damaged due to being struck by a City snowplow. 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 Victor Mowery 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