Claim by Thomas and Sandra SitzmannCopyrighted
July 17, 2023
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Joseph Ede for property damage; Denise Hackbarth for vehicle damage;
Lawrence Herrig for property damage; Thomas and Sandra Sitzmann for
property damage; Teresa Stegall for personal injury; Michael Thill for
property damage.
SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
Description
Type
Claim by Joseph Ede
Supporting Documentation
Claim by Denise Hackbarth
Supporting Documentation
Claim by Lawrence Herrig
Supporting Documentation
Claim by Thomas and Sandra Sitzmann
Supporting Documentation
Claim by Teresa Stegall
Supporting Documentation
Claim by Michael Thill
Supporting Documentation
Firefox
(Yt V ryl
about:blank
r
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. 13t' 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: �'L�4f `� I c� �� �rGf/� _] / 4Af h
2. Address:
3. Telephone Number: 6
4. Date of Incident: 3-L k f4 -�-Q -3
5. Time of Incident: //•, J / ,//- "
B. Location of Incident (Be specific):
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.)
8. What were weather conditions like?
9. Give name and address of any witnesses:
/g,AjC�� I, J/. CT-P--7s�1
f
10. Did police investigate? (if so, give names of officers.) 4/d
11. Was anyone injured? (if so, give names, addresses, and extent of injuries).
/(,;'�:
of 3 7/11/2023, 9:14 AM
Firefox
abaut:blank
12. Was any damage done to property? (if so, describe property and the extent of damages.
Attach estimates of damagesor describe basis- for ascerttaining extent of damage.)
/
C pdd/ 7-L AAd S cc,
' 6 �
13. What other damages do you claim, if any?
(j-
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.)
A I Ll,
15. What amount do you claim from the City of Dubuque?
71.3 0
16_ Why do you claim the City of Dubuque is responsible? ri d/ �Lt X C
✓r-e� k
'�rl
31-ZZ4 k4l-'l 7V-C-
17. Have you made any claim against anyone else for damages as a result of this incident?
(if yes, give name and address.) Cc,r ( /y//C fr '-) X
18. If the answer to Question 17 is yes, have you received any payment from that source,
and if so, in what amount? p l o
��
Dated at Dubuque, Iowa this ��' ! � day of 2p _ � � ,-)J,
iw1 2 .
(Signature)
(Print Name)
of3 7/11/2023. 9:14 AM
City of Dubuque
City Council Meeting
Consent Items # 03.
Copyrighted
July 17, 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: Joseph Ede for property damage; Denise Hackbarth
for vehicle damage; Lawrence Herrig for property damage; Juan Lampe
for property damage; Brian Sanger for property damage; Thomas and
Sandra Sitzmann for property damage; Teresa Stegall for personal injury;
Michael Thill for property damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description
I CAP Referral
Type
Supporting Documentation
THE CITY OF
DUB E MEMORANDUM
Masterpiece on the Mississippi
JONI MEDINGER
LEGAL ADMINISTRATIVE ASSISTANT
To: Mayor Brad M. Cavanagh and
Members of the City Council
DATE: 7/11 /2023
RE: Claim Against the City of Dubuque by Thomas and Sandra Sitzmann
Claimant Date of Claim Date of Incident Nature of Claim
Thomas and 7/11/2023 7/7/2023 Property Damage
Sandra Sitzmann
This is a claim in which claimant alleges Claimant's properties were flooded after a City
watermain break causing mud and water to flow around Claimant's home and rental
property.
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
Christopher Lester, Water Department Manager
Thomas and Sandra Sitzmann
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