Claim by Lori Meyer 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, IOWA
This written report constitutes your claim against the City of Dubuque, lowa. You should
complete this farm in full and attach any additianal information tha# s�pparts yaur claim.
The Clairti must be filed with the City Cl�rk at City Hall, 50 W. 13t'' St., Dubuque, lA 52001. It
wili ther� be referred by th� City Council to the appropr9ate department for investigation.
Once that investigation is completed, a report and recommendation will be submitted to fhe
City Councif. You will be provided with a copy of tha� repart and recommendation.
THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE C{TY COIJNCIL. NO EMPL�YEE OF
THE CITY �F DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU
AS T� WHETH�R Y�UR CLAIM WILL OR WIl�L NQT BE PAID.
'�. N�m� of Claiman#� �_bf� � ��L��I� �
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2, Address: " �'� � �
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City: ���� ��uf' State: ,`; ,.��L, Zip: �SvZ(��i3�
3. Telephone Number: r5�,-3 `p y S ' `�(�����
4. Date of Inciden�: ���f �J , �� .3
5. Time of Incident: � ,��� U�-�--, �..f[�` 3(� ��r�v� ----
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6. Location of Incid�nt (Be specific}: L-z � �1,-�c`,� �,�^- � � ;�G '�-• �, � ��
�;� 4: ���f.! 67�.\--��� �> >Y1 V\Yt1lC r(,i
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7. DESCRIBE ACCIDEN7 OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Gi�e
full details upon which you base your claim. If a City ernployee was in�olved, gi�e the
employee's name.)
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8. What were weather condi�ions like? N; c.rz. c`��v�.
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9. Gi�e name and address af any witnesses: d�� J,= +U`�1'1 (�
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10. Did police in�estigate? (If so, give names of officers.}
�L�.� ��.`� ��'�� Y��! �C`W��.
11. Was anyone injured? {If so, gi�e names, addresses, and extent of injuries).
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12. Was any darnage done ta property? (If so, describe property and the extent of
damages. Attach estimates of dama�es or describe basis for ascertaining extent of
damage.}
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13. What other darnages d ou claim, if any?
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14. Ha�e you been compensated for any part or all of your claim by any insurance
compar�y? (l�so, give name and address of ia�surance com�any and arnount paid.)
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1�. Wha� amount do you claim from th� City af Dubuque? '
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16. W�y do you claim �he City of Dubu ue is respo sible? �� r " � r , ���
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c�. --, r'C°�v� .�,� C?;-L 5'�a . �c-� �'�v�,r r� c.��c��.1 c� tri v---��3c�, �7 c�t�., ` �•-'ti� ' ,
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17. Ha�e you made any cfaim against anyone else for damages as a resu7� -o�h�is inciden�?C��-�
(If yes, give name and address.)
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18. I� the answer to Question 17 is yes, have yau recei�ed any payment from that source,
and if so, in what amaunt?
Dated at Dubuque, lowa this day of , 20
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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
MasterpTece 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 Lori Meyer
Claimant Date of Claim Date of Incident Nature of Claim
Lori Meyer 10/3/2023 9/25/2023 Property Damage
This is a claim in which claimant alleges Claimant's property was flooded after a City
watermain break causing water to flow around Claimant's property.
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
Christopher Lester, Water Department Manager
Lori Meyer
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