Claim by Paul and Paula Herrig Copyrighted
May 20, 2024
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Paul and Paula Herrig forvehicle damage; Southend Tap LLC for
property damage; Stacey Humke for vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Referto CityAttorney
DISPOSITION:
ATTACHMENTS:
Description Type
Paul and Paula Herrig Supporting Documentation
Claim by Southend Tap LLC Supporting Documentation
Claim by Stacey Humke Supporting Documentation
Y�v�
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CLA1M AGAINST TNE CITY OF DUBUQUE, I�1NA �`�`���� �`�'�
T�is written r.eport �onstitcates yvur claim against tHe City. of Dubuque, lowa, Yvu should
comp[ete this form in full and attach any additEanal information t�a#supparts your claim.
The C[aim must be filed witf� the City Clerk at City Hall,_5� W. 13t" St., Dubuque, IA 520Q'f. lt
wilt then be referred by the City Council tv the appro:priat� d�partrr�ent for in�es�igatian.
�nce that investigation is �orxtpteted, a report and recvmmendation will be submitted to the
City Cauncil. You will be provided wi�h a co.py of that report and recommendation.
THE FiNAL DEC15fON ON ALL CLAIMS tS MADE BY THE GlTY COUNGIL. NO EMPLOYEE QF
THE CITY �F L7UBUQUE HAS THE AUTHORITY TO IUTAKE AiVY REPRE�ENTATION TO YO!]
AS T� WHETHER YDEJR C AtM W1LL DR tLL N�T BE PAID:
�!: Name o.f.Claimar�t; � ���� ����
2: Address: � � .Y� �1 � �'� �
City: ��� ,� Sfiate: -�--�"�"-�' , _ ZiP: � I(
3. Tefephone Number: ���j`" �� � - t ��
4. E]ate of Incident: � ���� ���
3. Time of Incident: , � �' ��Q ��
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6. Lacation of Incident (Be specific): ��t �C����.. �� ��_
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7. DESCRIBE ACCIdENT (�R aCCURRENCE THAT CAUSED INJURY pR �AMAGE. (Gi�e
full details upon which you base you.r claim: if a City employee was invol�ed, gi�e the
mployee's name.}
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8. 1Nhat were weafiher conditions like? � � `�
9. Gi�e name and address of ar�y wi#nesses:
10. D�d police invesfigate? (lf s�, give names of offieers:)
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't 1. Was anyone injc�red? (If so, gi�e narnes, address�s, 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 o#her damages do you claim, if any?
14. Mave you been compensa#ed for any part or a11 of your claim by any insurance
company? (If so, give name and address of insurance company and amaunt paid.)
,
15. What amount do you claim from the Ci�� of �}ubuque? � -� � � �,�
16. Why do you claim the City of Dubuque is respansible?
17. Have you m�d� any claim agains# anyone else for damages as a result of this incident?
(If yes, give name and address.)
18. If the answer to Question 97 is yes, �iave you received any payment from that source,
and if so, in what amount?
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Dated at Dubuque, lowa this � day of� } , 2
(Signature} ', �_
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Copyrighted
May 20, 2024
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: Paul Herrig for vehicle damage; Southend Tap LLC for
property damage; Stacey Humke for vehicle damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description Type
ICAP Referral 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: 5/8/2024
RE: Claim Against the City of Dubuque by Paul Herrig
Claimant Date of Claim Date of Incident Nature of Claim
Paul Herrig 5/6/2024 5/6/2024 Vehicle Damage
This is a claim in which claimant alleges Claimant's vehicle was damaged due to being
struck by a City vehicle.
This claim has been referred to the lowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Arielle Swift, Public Works Director
Paul Herrig
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