Claim by Gregory and Jackie ChapmanCopyrighted
June 17, 2024
City of Dubuque Consent Items # 02.
City Council Meeting
ITEM TITLE: Notice of Claims and Suits
SUMMARY: Gregory and Jackie Chapman for vehicle damage; Jonathan Denham for
vehicle damage; Lucas Gonyier for property damage; Schneider National
Carriers for property damage.
SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney
DISPOSITION:
ATTACHMENTS:
Description Type
Claim by Gregory and Jackie Chapman Supporting Documentation
Claim by Jonathan Denham Supporting Documentation
Claim by Lucas Gonyier Supporting Documentation
Claim by Schneider National Carriers Supporting Documentation
MVM
R.Knuckey
CLAIM AGAINST THE CITY OF DUBUQUE, IOWA J. Johnson
Legal
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 Clerk 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: GREGORY CHAPMAN & JACKIE CHAPMAN West Bend Insurance
2. Address: West Bend Insurance Company, 1900 South 18th Ave, West Bend WI 53095
3. Telephone Number:
262-334-6428
4. Date of Incident: 05/09/2024
5. Time of Incident:
6. Location of Incident (Be specific): CORNER OF CLARK DRIVE & WEST LOCUST ST , DUBUQUE IA
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.)
City of Dubuque bus sideswiped our insured Driver Glenn Nicol
8. What were weather conditions like? n/a
9. Give name and address of any witnesses: n/a
10. Did police investigate? (If so, give names of officers.) Yes / report attached
11. Was anyone injured? (If so, give names, addresses, and extent of injuries).
n/a
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.)
Total dmages $4025.38 Pd +$500.00 deductible =$ 4525.38 supports attached
13. What other damages do you claim, if any?
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? $4525.38
16. Why do you claim the City of Dubuque is responsible? 100% at fault for not maintaining proper lookout
Police report supports
17. Have you made any claim against anyone else for damages as a result of this incident?
(If yes, give name and address.)
n/a
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 4th day of June 2024
3wlz 7—U4"f�
(Signature)
Shore Turner Received via email
(Print Name) June 4, 2024 1.40 PM
City of Dubuque
City Council Meeting
Consent Items # 03.
Copyrighted
June 17, 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: Gregory and Jackie Chapman for vehicle damage;
Jonathan Dehman for vehicle damage; Lucas Gonyier for property damage;
Schneider National Carriers for property damage.
SUGGESTED Suggested Disposition: Receive and File; Concur
DISPOSITION:
ATTACHMENTS:
Description Type
I CAP Referral 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: 6/5/2024
RE: Claim Against the City of Dubuque by Gregory and Jackie Chapman
Claimant
Gregory and
Jackie Chapman
Date of Claim Date of Incident Nature of Claim
6/4/2024 5/9/2024 Vehicle Damage
This is a claim in which Claimant alleges Claimant's vehicle was damaged due to being
struck by a City bus.
This claim has been referred to the Iowa Communities Assurance Pool.
cc: Michael C. Van Milligen, City Manager
Ryan Knuckey, Director of Transportation Services
Shore Turner, West Bend
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