Claim by Jill Boge Copyrighted
October 16, 2023
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUM MARY: Jill Boge for vehicle damage; Mary Burke for vehicle damage; Linda I rish
for vehicle damage; J P Gasway Co I nc for vehicle damage; Lori Meyer
for property damage; Mercy One Medical Center for property damage;
Erica Nelson for vehicle damage
SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Jill Boge Supporting Documentation
Claim by Mary Burke Supporting Documentation
Claim by Linda Irish Supporting Documentation
Clim by Mercy One Medical Center Supporting Documentation
Claim by Lori Meyer Supporting Documentation
Claim by Erica Nelson Supporting Documentation
Claim by J P Gasway Co Inc Supporting Documentation
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CLAIM AGAINST THE CITY OF DUBUQUE, IDWA �
This written report constitutes your claim against fhe City of Dubuque, lowa. You should
complete this form in full anc[ attach any additional information t�at supports your claim.
The C[aim must be filed with the City C[erk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It
will then be referred by the City Council to the appropriate de�artment for in�es#igation.
Once that in�estigation is campleted, a report and recommendation will be submitted to the
City Council. You wil[ be pra�ided with a copy of�hat report and recommer�dation.
THE FfNAL DEC1510N ON ALL CLAIMS IS MADE BY THE CITY COl]NCIL. NO EMPLOYEE OF
TH� CITY �F DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATI�N T� Y�U
AS TO WHETHER YOLJR CLAIM WILL OR WILL NOT BE PAID.
1. Name of Claimant: !� � U
2. Address: � �� �V�1`��' ��'�, 4�'1�
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City: State• I � Zip•
3. Te[ephone Number: �� � � � ��o�
4. Date of Inciden�: 'U � 2
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5. Time of Incident: , � �
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6. Location of Incident (Be specific}: ��� � ��� �`� Y ,� � !�� � 2�
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7. DESCRIBE ACC[DENT OR OCCURRENCE THAT CAUSED INJIJRY OR DAMAGE. (Give
full details upon wh�ch you base your claim. If a City employee was �nvol�ed, gi�e the
employee's name.)
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8. What were weather cor�ditions like7 �/1� � _
9. Give name and address of any witnesses:
10. Did police investigate? �If so, gi�e names of officers.}
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1'I. Was anyone injured? (If so, give r�ames, 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? l�bs 1 '1 U V �C,�J 1�!u l✓t.
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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. What amount do you claim from the City of Dubuque?�^ p�y �/�/ipp�� .I n1��,�pr
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16. Why do you claim the Cit,y�o jD��u�gue is responsible?k��� r��� ��� J
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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.) �/1
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18. If the answer to Question 17 is yes, have you received any payment from that source, I
and if so, in what amount? ��
Dated at Dubuque, lowa this � l day of �� ��, 20�. I
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(Signature)
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Copyrighted
October 16, 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: J ill Boge for vehicle damage; Mary Burke for vehicle
damage; Linda I rish for vehicle damage; Lori Meyer for property
damage; Erica Nelson for vehicle damage; J P Gasway Co I nc for
vehicle damage
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description Type
PERS Jill Boge Supporting Documentation
PERS Mary Burke Supporting Documentation
PERS Linda Irish Supporting Documentation
PERS Lori Meyer Supporting Documentation
PERS Erica Nelson Supporting Documentation
PERS- P J Gasway 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: 10/4/2023
RE: Claim Against the City of Dubuque by Jill Boge
Claimant Date of Claim Date of Incident Nature of Claim
Jill Boge 9/19/2023 8/14/2023 Vehicle Damage
This is a claim in which claimant alleges Claimant's vehicle has been damaged due to
paint dripping from the ceiling above a parking spot in a City parking ramp where
Claimant's vehicle was parked.
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
Ryan Knuckey, Director of Transportation Services
Jill Boge
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