Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Claim by Jonathan Denham
Copyrighted 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 Legal CLAIM AGAINST THE CITY OF DUBUQUE, IOWA A. Swift 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. 13fh 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 1S 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 L NOT BE PAID. 1. Name of Claimant: ATV)A� 2. Address: 16, 5 A'�5 P k City: tU B iVe State: t & 3. Telephone Number:�J ko3 4. Date of Incident: 5. Time of Incident: A�1 Zip: 5 ;�Om 6. Location of Incident (Be specific): C>F 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.) 8. What were weather conditions like? tXFL9—, 5�,uaJ 9. Give name and address of any witnesses:.WEkcc 000 403 1,3 WOE0- Of UDADF—E> 10. Did police investigate? (If so, give names of officers.) Its N 1L AG—D PO 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.) LJE_�T kAQE _yw e� 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.) Nc> 15. What amount do you claim from the City of Dubuque? D `©0a 16. Why do youclaim the City of Dubuque is responsi le? zwV-0 no 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) 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 0 , 2024. ignature) &OK"AA13 �DtVA44fA (Print Name) (Rev. 5118) Received via email June 5, 2024 3:29 PM M1 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: 6/10/2024 RE: Claim Against the City of Dubuque by Jonathan Denham Claimant Date of Claim Date of Incident Nature of Claim Jonathan Dehman 6/5/2024 6/5/2024 Vehicle Damage This is a claim in which Claimant alleges Claimant's vehicle was damaged due to being struck by a City garbage truck. This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Arielle Swift, Public Works Director Jonathan Denham 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