Claim by John WagnerCopyrighted
February 5, 2024
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Conner Maiden for vehicle damage; Dalton Schoen for vehicle damage;
Adam Smith for vehicle damage; Katherine Smith for vehicle damage;
John Wagner for property damage.
SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
Description
Type
Claim by Conner Maiden
Supporting Documentation
Claim by Dalton Schoen
Supporting Documentation
Claim by Adam Smith
Supporting Documentation
Claim by Katherine Smith
Supporting Documentation
Claim by John Wagner
Supporting Documentation
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. 13th 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.
1. Name of Claimant: ) onn U19agper
2. Address: 75 5. Mot-iiOt
City: IRUGT State: 7g&2,a Zip: 5aq1fvl
3. Telephone Number: b3 5N3- 8569
4. Date of Incident: ®�f7�/071d92 3
5. Time of Incident: %: 20 qNt
6. Location of Incident (Be specific): L46 &22 S-re-`
haseN&11 and If s-x'el al i5 S. ,AlllamaL
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.)VI%1/ J&-Ma;n on S,4hN on"rohzand backed up14vofh sewn- hnbZ
Give name and address of
)ivbert Wayw:AdDS6 rArew ��
Did police investigate?
NO
names of officers.)
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
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GW4%:o!dh,n feaE ,
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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.)
13C� �n2�f Lye d,°!! � c:,lah
13. What other damages do you claim, if any? Awe'r sugo)y ,r comp/,scfe&71_myi
I� ddr�►e rtbL � Sensar &- SjaAdTrvm Pedr�� , Silhv r? Cud ►�1r _._
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.)
No
15. What amount do you claim from the(.► C
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OMM
of Dubuque?
,v/ -
16. Why do you claim the City of Dubuque is responsible?
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
M)
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, Iowa this day of 11,0 0 Ljat V _ -- 202LJ_.
(Signature)
Print Name)
(Rev. 5118)
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City of Dubuque
City Council Meeting
Consent Items # 03.
Copyrighted
February 5, 2024
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: Connor Maiden for vehicle damage; Dalton Schoen for
vehicle damage; Adam Smith for vehicle damage; Katherine Smith for
vehicle damage; John Wagner 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: 1 /18/2024
RE
Claimant
John Wagner
Claim Against the City of Dubuque by John Wagner
Date of Claim Date of Incident Nature of Claim
1/11/2024 10/7/2023 Property Damage
This is a claim in which claimant alleges Claimant's basement was flooded due to a
watermain break.
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
John Wagner
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