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Claim by Douglas HarkeyCopyrighted 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 rnvrn ��r�rrn�.�er��-►-� 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. 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. 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 C 2. Address: City: 121 IS lie. 3. Telephone Numb( 4. Date of Incident: 5. Time of Incident: f j 6. Location of Incident (Be specific): State--� /`", L4 I n Zip: L 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.) Wit) rd e -c 8. What were weather conditions like? _ M h U � t f 9. Give name and address of any witnesses: r�r/�'P`� e1 10. Did police investigate? (if so, give names of officers.) 11. Was anyone injured? (If so, givg 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 basi&for ascertaining extent of damage.) (Signature) (Print Name) < 0 > CD 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 CU�R�QbE DMEMORANDUM 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 Douglas Harkey Claimant Date of Claim Date of Incident Nature of Claim Douglas Harkey 2/8/2024 8/14/2023 Property Damage This is a claim in which claimant alleges Claimant's mattress/box spring was damaged during a Police investigation. 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 Jeremy Jensen, Chief of Police Douglas Harkey 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