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Claim by Eric and Tishana SuiterCity of Dubuque City Council Meeting Consent Items # 02. Copyrighted August 19, 2024 ITEM TITLE: Notice of Claims and Suits SUMMARY: Josh Heisdorf for vehicle damage; Jeff Jones for vehicle damage; Tishana Suiter for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: Description Type Claim by Josh Heisdorf Supporting Documentation Claim by Jeff Jones Supporting Documentation Claim by Eric and Tishana Suiter Supporting Documentation irtl'1vrn 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 Claimant: -EN6C. ae \5 W30( 2. Address: 5a)‘C\- `�`.. City: 3 e " State: ,CPC Zip: 0a 3. Telephone Number: -4 -4? ' (11Shaoot) 4. Date of Incident: 5. Time of Incident: 6. Location of Incident (Be specific): UdcA''( X` • \ass-) nw-NN.o -t 6,6.NIPv\\ ak\g90 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.) v'V(\) C Y\ (D-c �coa�� s Vc- s h C,\ a)r e , ).-) lc-14 }NY t —\ct rskfl` ep c—cecl r-<rn 8. What were weather conditions like? 001 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) \Selil oft,{ 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.) Cap c,Q Ck A\VS c2) N;\N\ \, o f U-Q r s\ . \ ,fie 046&V ec W 07\— \cs ' road \, Sv. df S \� 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? 16. Why do you claim the City of Dubuque is responsible? ` \ S rn��s �r 1 CfAir0 �c�� j� eo \(ecu- vc \, S \ M\-. \ 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 GCS} 1\Z-.\\acw Sur,( (Rev. 5/18) 04 (Sig .ture) (Print Name) y r City of Dubuque City Council Meeting Consent Items # 03. Copyrighted August 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: Camille Baker for vehicle damage; Julianne Geraghty for property damage; Richard Powers for vehicle damage; William Sand Jr. for property damage; Tishana Suiter for vehicle damage. SUGGESTED Suggested Disposition: Receive and File; Concur DISPOSITION: ATTACHMENTS: Description Type ICAP Referral Supporting Documentation THE CITY OF DUI1tJE MEMORANDUM Masterpiece on the Mississippi JONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 8/13/2024 RE: Claim Against the City of Dubuque by Tishana Suiter Claimant Date of Claim Date of Incident Nature of Claim Tishana Suiter 8/7/2024 7/25/2024 Vehicle Damage This is a claim in which Claimant alleges Claimant's vehicle was damaged when Claimant struck a pothole on Cedar Cross Road. This claim has been referred to the Iowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Arielle Swift, Public Works Director Tishana Suiter 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