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Claim by Kira Kieffer and John LiphardtCopyrighted October 7, 2024 City of Dubuque CONSENT ITEMS # 2. City Council ITEM TITLE: Notice of Claims and Suits SUMMARY: Kira Kieffer and John Liphardt for vehicle damage; Jacob Ludwig for vehicle damage; Dennis Thein for vehicle damage. SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Kira Kieffer and John Liphardt 2. Claim by Jacob Ludwig 3. Claim by Dennis Thein Page 158 of 674 mvm LSaQ CLAIM AGAINST THE CITY OF DUBUQUE, IOWA I'ZLia"Y-mi -Kri 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 /11v/CLAIM WILL OR WILL NOT BE PAID. A 1. Name of Claimant: Njci- �P/' Jot/v.. Lie^c ted 1 2. Address: 0.,33C9 / i t,& U.i (I Def., City: 1)05mr� 3. Telephone Number: 4'63) S'/5 N 6�f0 4. Date of Incident: 7-2 7 - 214 Stater -era ��• Zip: 54,14zc,3 5. Time of Incident: i /; QS- 6. Location of Incident (Be specific): TC'Ct.,._ pt,,r k 4d5 T6) o ' lite sr' i yt/..1.- S ice- g L,.oLu►s i- S . 4.044) fir_ F bAve.' a (.). 1.11-‘..f t : 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.) la-s K, was c: oes k i xt patKi.1 s da opeCt de- ��k (AAA lea �1v ricgao KeJI ' Ma.c e. Gnu { .ci` 43;1, 'i'e cioNt ro 4 (6e. oii`dwd' Ce/ge. 8. What were weather conditions like? -Q l C7 9. Give name and address of any witnesses: 10. Did police investigate? (If so, give names of officers.) Ye-1 ©M, a- 84KKe,j 11. Was anyone injured? (If so, give names, addresses, and extent of injuries). /00 Page 159 of 674 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.) ``- ye 5. A g R 4 Ls ll, {-10 €9 ws t.16 3 . sf lc. Pe. Ova' pZ.o o1i{ 4v' C.Lervke_e- Le- ►`", Ted) . C t— `6.*v. 13. What other damages do you claim, if any? A,c,rv+e_ 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? Ai\ 16. Why do you claim the City of Dubuque is responsible? ()Li* (J2L4/r (e- t.. s .f/o./arir e.,040 t.4) ct.10,C,i'Aj Tot.7t C'� ( bL4.5 5 14.,101 �..e.x kadt / le/c irt44.) emg. Lt4k teea.A.., - t. eei.c, fine. b ,fad 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) /Vo 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'Ps ay of v►5; (Signature) (Print Name) (Rev. 5/18) 0 Page 160 of 674 Copyrighted October 7, 2024 City of Dubuque CONSENT ITEMS # 3. City Council 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: Kira Kieffer and John Liphardt for vehicle damage; Jacob Ludwing for vehicle damage; Dennis Thein for vehicle damage. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 165 of 674 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: 10/1/2024 RE: Claim Against the City of Dubuque by Kira Kieffer and John Liphardt Claimant Date of Claim Date of Incident Nature of Claim Kira Kieffer and 9/24/2024 7/27/2024 Vehicle Damage John Liphardt 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 Kira Kieffer and John Liphardt 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 Page 166 of 674