Claim by Tonia Nicholson 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
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CLAIM AGAINST THE CITY OF DUBUQUE, IOWA R��L��cSl��-Fr
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. 13�'' 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: ��y� � � �\ C �c���SC>�I
2. Address: `� `�j Q� t,p ) ; ���v� �U�
City: �� )� 1. i o ti.� State: _ �— �- Zip: �
3. Telephone Number: ��� � �L� 3'-��� ��
4. Date of Incident: ��� . q �h � a(�r��j
5. Time of Incident: � . �-�.�j ('a Vyi
6. Location of Incident (Be specific): ���� \ ��p.p �,��� ,.,� � �, � ..�
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7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give
fuli details upon which you base your claim. If a City employee was involved, give the
employee's name.)
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8. What were weather conditions like? ,�r�o� :✓� q � �G � �•
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9. Give name and address of any witnesses: �f�i� ��G ��y�l `�(�a-�( -( "]8 C�
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10. Did police investigate? (If so, give names of officers.)
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11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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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.)
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13. What other damages do you claim, if any? �,c6C dv�,� t'1.,�sh�� �nr w��d c� �rti � ��
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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.)
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15. hat amount do you claim from the City of Dubuque?
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76. Why do you claim the City of Dubuque is responsible?
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17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
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18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount?
Dated at Dubuque, lowa this � day of 2� �f�2 Co,� , 2�,
S �-��- � �LO�-���.F� (Signature)
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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
Masterpiece 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 Tonia Nicholson
Claimant Date of Claim Date of Incident Nature of Claim
Tonia 2/20/2023 2/9/2023 Vehicle Damage
Nicholson
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
Tonia Nicholson
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