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Claim by Natalie OltmannsCopyrighted February 19, 2024 City of Dubuque Consent Items # 02. City Council Meeting ITEM TITLE: Notice of Claims and Suits SUMMARY: Kami Adolf for vehicle damage; April Colehour for personal injury; Douglas Harkey for property damage; Nick May for property damage; Natalie Oltmanns for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: Description Type Claim by Kami Adolf Supporting Documentation Claim by April Colehour Supporting Documentation Claim by Douglas Harkey Supporting Documentation Claim by Nick May Supporting Documentation Claim by Natalie Oltmanns Supporting Documentation rnvm 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 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. THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID. 1. Name of Claimant: �,y1'l 5 M '1' � \ m" 2. Address: V GJ " Mi A fA ' uM S V - M\ 1 L Z)Q City: Ly (rj State: ' �fy Zip: 20 I 3. Telephone Number: 2VD) ' 20- IV U 1 4. Date of Incident: 130 12. 5. Time of Incident: rU U pm 6. Location of Incident (Be specific): OW VCAVV 11 o Wimp 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.) t tWO WX p ffiS Al c CRY) VU �W VO1YO" �� C r�rmc. �tM,n u � nny cwr . Ifi1n� 8. What were weather conditions like? 9. Give name and address of any witnesses: 1 ry1Vv A 10N A ) 'rny Nn l) S i Su e D1A1(A YA 0 r ff��1lu4- P ft 66 W(\' i S M (Ay v e Y wyvy _ `rn s C�1IQ,Y1h�lUi thMMVI VVUAV4 10. Did police investigate? (If so, give names of officers.) Wrl _'� QS � � �1 i,er �-� t� � �,� ®Gt �it�n � �o z3 - u � zu.2 � p �►r �1=ice 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). 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.) t C �h �rtn�\ p1 VY�nr e by�i (�buv e tY� d�nY eY \��1 G1uw am d1 ��r (m lyt — r 111� IMYI tU bWII� �ASV f CY RM Y1,C(Ay ftl 881 U" LAM 13. What other damages do you claim, if any? W AWQ i Cv�r��c m M c rin, In co 11 i 4 i ►n� 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.) 15. What amount do you claim from the City of Dubuque? 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.) r\O 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so in what amount? Mi R Dated at D buque, Iowa this day of �Ut �—, 20 t/3. (Signature) (Print Name) (Rev. 5/18) E�J c� c,s City of Dubuque City Council Meeting Consent Items # 03. Copyrighted February 19, 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: Kami Adolf for vehicle damage; April Colehour for personal injury; Douglas Harkey for property damage; Nick May for property damage; Natalie Oltmanns for vehicle 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: 2/13/2024 RE: Claim Against the City of Dubuque by Natalie Oltmanns Claimant Date of Claim Date of Incident Nature of Claim Natalie Oltmanns 8/10/2023 3/31/2023 Vehicle Damage This is a claim in which claimant alleges Claimant's vehicle was damaged when the control arm in the parking ramp hit her vehicle. 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 Ryan Knuckey, Director of Transportation Services Natalie Oltmanns 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