Claim by Robert BerryCopyrighted
June 5, 2023
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Robert Berry for personal injury; John Higgins for property damage;
Shyla Thurston for vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by John Higgins Supporting Documentation
Claim by Shyla Thurston Supporting Documentation
Claim by Robert Berry Supporting Documentation
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA
This written report constitutes your claim against the City of Dubuque, Iowa. 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`h St., Dubuque, IA 52001.
It will then be referred by the City Clerk 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.
1. Name of Claimant: o & r-- 6z T m , B E R (R ti-"
2. Address: 2 Li 9 £ S E LA rA P D YP I< i M A , IA JA 1 9 gq 61
3. Telephone Number: 04 38g -1447
4. Date of Incident: MA P-CA 1 , 2 � -3
5. Time of Incident: 01 IDoc, W.
6. Location of Incident (Be specific): 3 S o S W &51--.AIA-( l 6 tzM IA M CI iz G Lt
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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.)
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8. What were weather conditions like? 5 u JI-Jq I C LE A P,, 5 kit S
9. Give name and address of any witnesses:
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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.)
13. What other damages do you claim, if any?
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. What amount do you claim from the City of Dubuque?
16. Why do you claim the City of Dubuque is responsible? y T W �S A
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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.)
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 Dubuquo;J.owa this day of 20 -3 .
/I `iP lkL A4 A, WA
(Signature)
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(Print Name)
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City of Dubuque
City Council Meeting
Consent Items # 03.
Copyrighted
June 5, 2023
ITEM TITLE: Disposition of Claims
SUMMARY: City Attorney advising that the following claims have been referred to
Public Entity Risk Services of Iowa, the agent for the Iowa Communities
Assurance Pool: Robert Berry for personal injury; John Higgins for
property damage; Shyla Thurston for vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA
SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944
TELEPHONE (563) 589-4113 / FAX (563) 583-1040 / EMAIL jmedinge@cityofdubuque.org
M E M O R A N D U M
J O N I M E D I N G E R
LEGAL ADMINISTRATIVE ASSISTANT
TO: Mayor Brad M. Cavanagh and
Members of the City Council
DATE: 5/18/2023
RE: Claim Against the City of Dubuque by Robert Berry
Claimant Date of Claim Date of Incident Nature of Claim
Robert Berry 5/11/2023 3/7/2023 Personal Injury
This is a claim in which claimant alleges Claimant’s was injured when he stepped on a
storm drain cover and it collapsed, and he fell through.
This claim has been referred to Public Entity Risk Services of Iowa, the agent for the Iowa
Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
John Klostermann, Public Works Director
Robert Berry